Cervical Cancer Staging

Question 1

Stage IA

Answer 1

Maximum depth of invasion < 5 mm, can only be dx with microscopy

Question 2

Stage IA1

Answer 2

Stromal invasion < 3 mm

Question 3

Stage IA2

Answer 3

Stromal invasion >= 3 mm and less than 5 mm in depth

Question 4

Stage IB

Answer 4

Invasive carcinoma with measured deepest invasion >= 5 mm, limited to the cervix

Question 5

Stage IB1

Answer 5

Invasive carcinoma >= 5 mm depth of stromal invasion and < 2 cm greatest dimension

Question 6

Stage IB2

Answer 6

Invasive carcinoma >= 2 cm and< 4 cm in greatest dimension

Question 7

Stage IB3

Answer 7

Invasive carcinoma >= 4 cm in greatest dimension

Question 8

Stage II

Answer 8

Invades beyond uterus, has not extended into lower 1/3 vagina or pelvic sidewall

Question 9

Stage IIA

Answer 9

Upper 2/3 of vagina without parametrial involvement

IIA1: < 4 cm greatest dimension
IIA2: >= 4 cm in greatest dimension

Question 10

Stage IIB

Answer 10

Extension into parametrium but not pelvic sidewall

Question 11

Stage III

Answer 11

Involves lower 1/3 of vagina and/or extends into the pelvic sidewall, causes hydronephrosis or nonfunctioning kidney, or involves the LNs

Question 12

Stage IIIA

Answer 12

Involves lower 1/3 vagina without extension into the pelvic wall

Question 13

Stage IIIB

Answer 13

Extension into the pelvic wall, hydronephrosis or nonfunctioning kidney

Question 14

Stage IV

Answer 14

Extends beyond true pelvis or involved (biopsy proven) the mucosa of the rectum or bladder

IVA > involves mucosa of rectum or bladder
IVB > tumor spread beyond true pelvis or by metastasis to distant organs

Question 15

Stage IIIC

Answer 15

Involves pelvic or para-aortic LNs

IIIC1 > pelvic LNs
IIIC2 > para-aortic LNs