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28 Cards in this Set

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Vulva Cancer:
T1 (FIGO IA)
T1a (FIGO IA): ≤ 2 cm in size and <= 1mm depth of stromal invasion

T1b (FIGO IB): > 2 cm in size, or any size with >1mm depth of stromal invasion
Vulva Cancer:
T2 (FIGO II)
extension to adjacent perineal structures (lower/distal 1/3 urethra, lower/distal 1/3 vagina, or anal involvement)
Vulva Cancer:
T3 (FIGO IVA)
extension to any of the following: upper/proximal 2/3 of urethra, upper/proximal 2/3 of vagina, bladder mucosa, rectal mucosa, or fixed to pelvic bone
Vulva Cancer:
N staging
Regional nodes: include femoral and inguinal nodes. Involvement of iliac nodes is Stage IVB.

N1 (FIGO IIIA)
N1a - 1-2 LN mets, each < 5 mm
N1b - 1 LN met ≥ 5 mm
N2
N2a (FIGO IIIB) - 3 or more LN, each < 5 mm each
N2b (FIGO IIIB) - 2 or more LN ≥ 5 mm
N2c (FIGO IIIC) - LN with extracapsular spread
N3 (FIGO IVA) - fixed or ulcerated LN
Vaginal Cancer:
T1 (FIGO I)
confined to vagina
Vaginal Cancer:
T2 (FIGO II)
invades paravaginal tissues but not to pelvic wall
Vaginal Cancer:
T3 (FIGO III)
Extends to pelvic wall
Vaginal Cancer:
T4 (FIGO IVA)
Invades muscosa of bladder or rectum or extends beyond the true pelvis
Vaginal Cancer:
N staging
N0: no
N1 (FIGO III): pelvic or inguinal LN mets
Cervical Cancer:
T1
T1 (FIGO I) - Confined to uterus (extension to corpus should be disregarded)
T1a (IA) - Invasive carcinoma visible only by microscopy
T1a1 (IA1) - Stromal invasion 3.0 mm or less in depth and 7.0 mm or less in horizontal spread
T1a2 (IA2) - Stromal invasion >3.0-5.0 mm in depth and 7.0 mm or less in horizontal spread
Cervical Cancer:
T1b
T1b (IB) - Clinically visible lesion, or microscopic lesion > IA2
T1b1 (IB1) - Clinically visible lesion 4.0 cm or less
T1b2 (IB2) - Clinically visible lesion more than 4.0 cm
Cervical Cancer:
T2 (FIGO II)
T2 (II) - Invades beyond uterus but not to pelvic wall or lower 1/3 of vagina
T2a (IIA) - Without parametrial invasion (i.e. involves upper 2/3 of vagina)
T2a1 (IIA1) - Clinically visible lesion 4.0 cm or less
T2a2 (IIA2) - Clinically visible lesion more than 4.0 cm
T2b (IIB): with parametrical invasion
Cervical Cancer:
T3 (FIGO III)
T3 (III) - Extends to pelvic wall, lower 1/3 of vagina, or causes hydronephrosis
T3a (IIIA) - Involves lower 1/3 of vagina, no extension to pelvic wall
T3b (IIIB) - Extends to pelvic wall or causes hydronephrosis or non-functioning kidney
Cervical Cancer:
T4 (FIGO IVA)
T4 (IVA) - Invades mucosa of bladder or rectum or extends beyond true pelvis (bullous edema not sufficient)
Cervical Cancer:
N
Regional Lymph Nodes: - parametrial, paracervical, obturator, internal iliac, external iliac, common iliac, sacral, presacral. (Paraaortic lymph nodes are M1 disease.)

N1 - Regional LN metastasis (lymph node involvement not listed in FIGO update 2009)
Endometrial Cancer:
T1 (FIGO I)
T1: confined to corpus
T1a: limited to endometrium or invades less than 1/2 of myometrium
T1b: invades ≥ 1/2 of myometrium
Endometrial Cancer:
T2 (FIGO II)
invades stromal tissue of the cervix but does not extend beyond uterus
Endometrial Cancer:
T3 (FIGO III)
T3a (IIIA) - involves serosa and/or adnexa (direct extension or metastasis)
T3b (IIIB) - vaginal involvement (direct extension or metastasis) or parametrial involvement
Endometrial Cancer:
T4 (FIGO IV)
invades bladder mucosa and/or bowel mucosa
Endometrial Cancer:
N staging
N1 (IIIC1) - metastasis to pelvic lymph nodes
N2 (IIIC2) - metastasis to para-aortic lymph nodes
Note: Regional nodes include obturator, internal iliac, external iliac, common iliac, para-aortic, presacral, and parametrial
Note: For pathologic staging, FIGO classifies cases with <6 resected LNs as pNX
Fallopian Tube Cancer:
T1 (FIGO I)
limited to fallopian tubes
T1a (IA) - limited to one tube, without penetrating the serosal surface; no ascites
T1b (IB) - limited to both tubes, without penetrating the serosal surface; no ascites
T1c (IC) - limited to one or both tubes with extension onto or through the tubal serosa; or with malignant cells in ascites or washings
Fallopian Tube Cancer:
T2 (FIGO II)
pelvic extension
T2a (IIA) - extension and/or metastasis to the uterus and/or ovaries
T2b (IIB) - extension to other pelvic structures
T2c (IIC) - pelvic extension with malignant cells in ascites or washings
Fallopian Tube Cancer:
T3 (FIGO III)
peritoneal implants outside the pelvis
T3a (IIIA) - microscopic peritoneal metastasis outside the pelvis
T3b (IIIB) - macroscopic peritoneal metastasis outside the pelvis, 2cm or less
T3c (IIIC) - peritoneal metastasis outside the pelvis, more than 2 cm
Fallopian Tube Cancer:
N staging
N0 - no
N1 (IIIC) - yes
Regional Lymph Nodes: include pelvic, paraaortic, inguinal
Ovarian Cancer:
T1 (FIGO I)
limited to one or both ovaries
T1a (IA) - involves one ovary; capsule intact; no tumor on ovarian surface; no malignant cells in ascites or peritoneal washings
T1b (IB) - involves both ovaries; capsule intact; no tumor on ovarian surface; negative washings
T1c (IC) - tumor limited to ovaries with any of the following: capsule ruptured, tumor on ovarian surface, positive washings
Ovarian Cancer:
T2 (FIGO II)
pelvic extension or implants
T2a (IIA) - extension or implants onto uterus or fallopian tube; negative washings
T2b (IIB) - extension or implants onto other pelvic structures; negative washings
T2c (IIC) - pelvic extension or implants (T2a or T2b) with positive peritoneal washings
Ovarian Cancer:
T3 (FIGO III)
microscopic peritoneal implants outside of the pelvis
T3a (IIIA) - microscopic peritoneal metastases beyond pelvis
T3b (IIIB) - macroscopic peritoneal metastases beyond pelvis less than 2cm in size
T3c (IIIC) - peritoneal metastases beyond pelvis > 2 cm. (lymph node metastasis is also IIIC for FIGO)
Ovarian Cancer
N staging
N0 - no
N1 (IIIC) - yes
includes pelvic, para-aortic, inguinal, retroperitoneal