Cervical cancer staging

Question 1

Stage IA

Answer 1

IA1: stromal invasion ≤3mm in depth
IA2: stromal invasion >3mm and ≤5mm in depth

Question 2

Stage IB

Answer 2

IB1: >5mm depth and ≤2cm greatest dimension
IB2: >2cm and ≤ 4cm dimension
IB3: >4cm in dimension

Question 3

Stage II

Answer 3

IIA: involvement limited to the upper 2/3 of the vagina without parametrial invasion
IIA1: invasive carcinoma ≤4cm
IIA2: invasive carcinoma > 4cm

IIB: with parametrial invasion, but not up to the pelvic wall

Question 4

Stage IIIA

Answer 4

Involves lower 1/3 of the vagina, with no extension to the pelvic wall

Question 5

Stage IIIB

Answer 5

Extension to the pelvic wall and/or hydronephrosis or non functioning kidney

Question 6

Stage IIIC

Answer 6

IIIC1: Pelvic LN mets only
IIIC2: Para aortic lymph node mets

Question 7

Stage IV

Answer 7

IVA: spread to adjacent organs
IVB: spread to distant organs