Vaginal cancer staging

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Syed Musadiq Ali M.B.B.S.[2]

Overview

Vaginal cancer may be classified into 4 subtypes based on FIGO or AJCC staging system.

Staging

The Féderation Internationale de Gynécologie et d’Obstétrique (FIGO) and the American Joint Committee on Cancer (AJCC) have designated staging to define vaginal cancer; the FIGO system is most commonly used^[1]. The definitions of the AJCC’s T, N, and M categories correspond to the stages accepted by FIGO.^[2]

FIGO

FIGO staging system (and modified World Health Organization (WHO) prognostic scoring system)^[3]

The FIGO staging system is as follows^[4]:

This image is provided by the National Library of Medicine.

AJCC Stage Groupings

Stage 0

Tis, N0, M0

Stage I

T1, N0, M0^[5]

Stage II

T2, N0, M0

Stage III

T1, N1, M0^[6]
T2, N1, M0
T3, N0, M0
T3, N1, M0

Stage IVA

T4, any N, M0

Stage IVB

Any T, any N, M1

References

↑ Shrivastava SB, Agrawal G, Mittal M, Mishra P (2015). “Management of Vaginal Cancer”. Rev Recent Clin Trials. 10 (4): 289–97. PMID 26411952.
↑ National Cancer Institute. Physician Data Query Database 2015. http://www.cancer.gov/publications/pdq
↑ Rajaram S, Maheshwari A, Srivastava A (August 2015). “Staging for vaginal cancer”. Best Pract Res Clin Obstet Gynaecol. 29 (6): 822–32. doi:10.1016/j.bpobgyn.2015.01.006. PMID 25847318.
↑ Adams TS, Cuello MA (October 2018). “Cancer of the vagina”. Int J Gynaecol Obstet. 143 Suppl 2: 14–21. doi:10.1002/ijgo.12610. PMID 30306589.
↑ Jain V, Sekhon R, Giri S, Bora RR, Batra K, Bajracharya A, Rawal S (July 2016). “Role of Radical Surgery in Early Stages of Vaginal Cancer-Our Experience”. Int. J. Gynecol. Cancer. 26 (6): 1176–81. doi:10.1097/IGC.0000000000000743. PMID 27327154.
↑ Ikushima H, Wakatsuki M, Ariga T, Kaneyasu Y, Tokumaru S, Isohashi F, Ii N, Uno T, Ohno T, Arisawa K, Toita T (April 2018). “Radiotherapy for vaginal cancer: a multi-institutional survey study of the Japanese Radiation Oncology Study Group”. Int. J. Clin. Oncol. 23 (2): 314–320. doi:10.1007/s10147-017-1205-z. PMID 29086206.

[pmid26411952-1] Shrivastava SB, Agrawal G, Mittal M, Mishra P (2015). “Management of Vaginal Cancer”. Rev Recent Clin Trials. 10 (4): 289–97. PMID 26411952.

[cancergov-2] National Cancer Institute. Physician Data Query Database 2015. http://www.cancer.gov/publications/pdq

[pmid25847318-3] Rajaram S, Maheshwari A, Srivastava A (August 2015). “Staging for vaginal cancer”. Best Pract Res Clin Obstet Gynaecol. 29 (6): 822–32. doi:10.1016/j.bpobgyn.2015.01.006. PMID 25847318.

[pmid30306589-4] Adams TS, Cuello MA (October 2018). “Cancer of the vagina”. Int J Gynaecol Obstet. 143 Suppl 2: 14–21. doi:10.1002/ijgo.12610. PMID 30306589.

[pmid27327154-5] Jain V, Sekhon R, Giri S, Bora RR, Batra K, Bajracharya A, Rawal S (July 2016). “Role of Radical Surgery in Early Stages of Vaginal Cancer-Our Experience”. Int. J. Gynecol. Cancer. 26 (6): 1176–81. doi:10.1097/IGC.0000000000000743. PMID 27327154.

[pmid29086206-6] Ikushima H, Wakatsuki M, Ariga T, Kaneyasu Y, Tokumaru S, Isohashi F, Ii N, Uno T, Ohno T, Arisawa K, Toita T (April 2018). “Radiotherapy for vaginal cancer: a multi-institutional survey study of the Japanese Radiation Oncology Study Group”. Int. J. Clin. Oncol. 23 (2): 314–320. doi:10.1007/s10147-017-1205-z. PMID 29086206.

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