Cervical Cancer Staging

Question 1

Stage 1 cancer involves

Answer 1

Cervix only (1a1 and 1a2= depth of invasion, 1b1-3 = width)

Question 2

Stage II involves

Answer 2

Upper 2/3 vagina and width (IIa1 and IIa2) and parametrial extension (IIab)

Question 3

Stage III involves

Answer 3

3 different areas: IIIa lower third vagina, IIIb pelvic side wall/hydronephrosis, IIIc nodes (IIIc1 pelvic, IIIc2 paraortic)

Question 4

Stage IV involves

Answer 4

Spread - IVa adjacent pelvic organs (bladder/bowel), IVb distant pelvic organs

Question 5

Stage IA

Answer 5

Cervix only, depth
IA1 = <3mm
IA2 = >/= 3mm and <5mm

Question 6

Stage 1a1

Answer 6

<3mm invasion

Question 7

Stage 1a2

Answer 7

> /=3mm <5mm invasion

Question 8

Stage 1b

Answer 8

3= width + >/=5mm invasion
1b1 <2cm
1b2 =/>2cm <4cm
1b3 =>/= 4cm

Question 9

Stage 1b1

Answer 9

Width and >/= 5mm invasion

1b1= <2cm wide

Question 10

Stage 1b2

Answer 10

Width + >/=5mm invasion

1b2= >/=2cm <4cm

Question 11

Stage 1b3

Answer 11

> /=4cm width, >/= 5mm invasion

Question 12

Stage 2A

Answer 12

2A = upper 2/3 vagina + width
2A1= upper 2/3 vagina <4cm
2A2= upper 2/3 vagina >/= 4cm

Question 13

45 year old woman, cervical cancer with half a centimetre depth of invasion, 5cm wide, involving upper 2/3 vagina- no nodes or distant mets, what stage?

Answer 13

2A2
Involves upper 2/3 vagina =2A
>4cm = 2A2

Question 14

Stage 2B

Answer 14

Parametrial involvement, no pelvic side wall

Question 15

Stage 3a

Answer 15

Lower 3rd vagina

Question 16

Stage 3b

Answer 16

Pelvic side wall +/- hydronephrosis

Question 17

Stage 3c

Answer 17

Nodes
3c1 pelvic
3c2 paraortic

Question 18

42 year old woman, invasive cervical cancer, hydronephrosis and positive paraortic lymph node. What stage?

Answer 18

3C2

Question 19

Stage Va

Answer 19

Local invasion (bladder or bowel)

Question 20

Stage Vb

Answer 20

Distant mets

Question 21

36 year old woman, histology from colposcopy shows cervical cancer invading the stroma by 1mm

Answer 21

Stage 1a1

Question 22

38 year old colposcopy identifies a 3cm cervical cancer with no distant or local spread

Answer 22

1B2