Vaginal cancer staging: Difference between revisions

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Revision as of 19:22, 1 September 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The process used to find out if cancer has spread within the vagina or to other parts of the body is called staging. The information gathered from the staging process determines the stage of the disease. It is important to know the stage in order to plan treatment. The following procedures may be used in the staging process

Staging

The Féderation Internationale de Gynécologie et d’Obstétrique (FIGO) and the American Joint Committee on Cancer (AJCC) have designated staging to define vaginal cancer; the FIGO system is most commonly used. The definitions of the AJCC's T, N, and M categories correspond to the stages accepted by FIGO.

FIGO

FIGO staging system (and modified World Health Organization [WHO] prognostic scoring system)

The FIGO staging system is as follows:

xx

AJCC Stage Groupings

Stage 0

Tis, N0, M0

Stage I

T1, N0, M0

Stage II

T2, N0, M0

Stage III

T1, N1, M0
T2, N1, M0
T3, N0, M0
T3, N1, M0

Stage IVA

T4, any N, M0

Stage IVB

Any T, any N, M1

@@ Line 6: / Line 6: @@
 The process used to find out if cancer has spread within the vagina or to other parts of the body is called staging. The information gathered from the staging process determines the stage of the disease. It is important to know the stage in order to plan treatment. The following procedures may be used in the staging process
-==The following stages are used for vaginal cancer:==
+==Staging==
+The Féderation Internationale de Gynécologie et d’Obstétrique (FIGO) and the American Joint Committee on Cancer (AJCC) have designated staging to define vaginal cancer; the FIGO system is most commonly used. The definitions of the AJCC's T, N, and M categories correspond to the stages accepted by FIGO.
-===Stage 0 (Carcinoma in Situ)===
+===FIGO===
-In stage 0, abnormal cells are found in tissue lining the inside of the vagina. These abnormal cells may become cancer and spread into nearby normal tissue. Stage 0 is also called carcinoma in situ.
+FIGO staging system (and modified World Health Organization [WHO] prognostic scoring system)
-===Stage I===
+The FIGO staging system is as follows:
-In stage I, cancer has formed and is found in the vagina only.
+xx
-===Stage II===
-In stage II, cancer has spread from the vagina to the tissue around the vagina.
-===Stage III===
-In stage III, cancer has spread from the vagina to the lymph nodes in the pelvis or groin, or to the pelvis, or both.
-===Stage IV===
-Stage IV is divided into stage IVA and stage IVB:
-* Stage IVA: Cancer may have spread to lymph nodes in the pelvis or groin and has spread to one or both of the following areas:
-:* The lining of the bladder or rectum.
-:* Beyond the pelvis.
-* Stage IVB: Cancer has spread to parts of the body that are not near the vagina, such as the lungs. Cancer may also have spread to the lymph nodes.
 ==AJCC Stage Groupings==