Staging

• Stage 1

  • 1A - Tumor confined to cervix and <5mm

  • 1B - Tumor confined to cervix and >5mm

• Stage 2

  • 2A - Tumor invasion beyond the uterus but limited to the upper 2/3 of vagina

  • 2B - Tumor invasion beyond the uterus with para-metrial invasion (basically dark circular border of cervix) - see image —>

• Stage 3

  • 3A - Invasion of lower 1/3 of vagina

  • 3B - Invasion of pelvic sidewall OR presence of hydronephrosis

    • Pelvic sidewall invasion is the mass within 3 mm of one of the following

      • Levator ani muscle

      • Piriformis muscle

      • Internal obturator muscle

      • Iliac vessels

• Stage 4

  • Invasion of bladder, rectum or distant mets

  • Nodes above the level of the renal vein = distant mets