Gynecologic

Question 1

Endometrium uterus

Answer 1

_pT1a: Tumor limited to endometrium or invading < half the myometrium
_pT1b: invading >= half myometrium
_pT2: invading stromal connective tissue of the cervix but not extending beyond the uterus.
_рТ3а: involving serosa and / or adnexa (direct extension or metastasis)
_pT3b: Vaginal involvement (direct extension or metastasis) or parametrial involvement
_ pT4: Tumor invading bladder mucosa and / or bowel mucosa

Question 2

Ovary, FT

Answer 2

_pT1a: limited to one ovary or FT
_pT1b: limited to both ovaries or FT
_pT1c: limited to one or both ovaries or FT, with any of the following:
_pT1c1: Surgical spill
_pT1c2: Capsule ruptured before surgery or tumor on ovarian or fallopian tube surface
_pT1c3: Malignant cells in ascites
_pT2a: Extension to uterus / FT / ovaries
_pT2b: Extension to other pelvic tissues
_p3Ta: Microscopic extrapelvic peritoneal involvement
_pT3b: Macroscopic peritoneal metastasis beyond pelvis <= 2 cm
_рТ3c: Macroscopic peritoneal metastasis beyond pelvis > 2 cm

Question 3

Trophoblastic tumor

Answer 3

pT1: confined to uterus
pT2: extends to other genital structures (ovary, tube, vagina, broad ligaments) by metastasis or direct extension
PT3: n/a

Question 4

Cervix

Answer 4

_pT1a1: stromal invasion <=to 3 mm
_pT1a2: stromal invasion > 3 mm and <= 5 mm in depth
_pT1b1: > 5 mm depth stromal invasion and <= 2 cm in greatest dimension
_ pT1b2: > 2 cm and <= 4 cm in greatest dimension
_pT1b3: > 4 cm in greatest dimension
_pT2a: Involvement limited to the upper two-thirds of the vagina without parametrial invasion.
_pT2a1: <= 4 cm in greatest dimension

_pT2a2: > 4 cm in greatest dimension
_pT2b: parametrial invasion
_рТ3а: involves lower third of the vagina,
_pT3b: Extension to the pelvic wall and/or hydronephrosis or nonfunctioning kidney
_pT4: Carcinoma has involved (biopsy-proven) the mucosa of the bladder or rectum, or has spread to adjacent organs.

Question 5

Uterine sarcoma (Leiomyosarcoma, Endometrial Stromal
Sarcoma, and Undifferentiated Endometrial Sarcoma / Uterine Sarcoma)

Answer 5

_pT1a: Tumor <= 5 cm
_pT1b: Tumor > 5 cm
_pT2a: Tumor involves adnexa
_pT2b: Tumor involves other pelvic tissues
_p3Ta: infiltrates abdominal tissue 1 site
_pT3b: infiltrates abdominal tissue > 1 site
_pT4: Tumor invades bladder or rectum

Question 6

Adenosarcoma

Answer 6

_pT1a: limited endometrium/ endocervix . _pT1b: invades less than 1/2 myometrium
_pT1c: invades >=1/2 myometrium
_pT2a: involves adnexa
_pT2b: involves other pelvic tissues
_pT3a: infiltrates abdominal tissues 1 site
_pT3b: infiltrates abdominal tissue > 1 site _pT4: Tumor invades bladder or rectum

Question 7

Vagina

Answer 7

_pT1a: confined to the vagina, <= 2.0 cm
_pT1b: confined to the vagina, > 2.0 cm
_pT2a: invading paravaginal tissues but not to pelvic wall, <= 2.0 cm
_pT2b: invading paravaginal tissues but not to pelvic wall, > 2.0 cm
_pT3: Tumor extending to the pelvic sidewall and / or causing hydronephrosis
_pT4: Tumor invading the mucosa of the bladder or rectum and / or extending beyond the true pelvis

Question 8

Vulva

Answer 8

_pT1a: <= 2 cm, stromal invasion <= 1 mm
_pT1b: > 2 cm or stromal invasion > 1 mm
_pT2: any size with extension to lower one-third of urethra, lower one-third of vagina, or anus
_pT3: any size with extension to upper two-thirds of urethra, upper two-thirds of vagina, bladder mucosa, rectal mucosa
_pT4: Tumor fixed to pelvic bone