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中山醫學大學附設醫院 - 癌症中心

子宮頸癌醫療團隊

 

子宮頸癌 FIGO / TNM 臨床分期

FIGO New Staging 1 ; 癌症分期教材 2   ;   AJCC 癌症分期 3 ;  癌症分期教材 4 


 

 

FIGO 分期

 

TNM

 

 

 

0

Carcinoma in situ (pre-invasive carcinoma)   (原位癌)

Tis

IA

Cervical carcinoma confined to uterus (extension to corpus should be disregarded) (微侵襲癌)

T1

Ia1

Stromal invasion no greater than 3.0 mm in depth, and 7.0 mm or less in horizontal spread

(微侵襲癌,水平徑不超過7 毫米,子宮頸基質侵襲不超過基底膜下3毫米)

T1a1

Ia2

Stromal invasion more than 3.0 mm and not more than 5.0 mm with a horizontal spread 7.0 mm or less (微侵襲癌,水平徑不超過7 毫米,子宮頸基質侵襲為基底膜下3-5 毫米之間)

T1a2

Ib1

Clinically visible lesion 4.0 cm or less in greatest dimension (子宮頸腫瘤直徑不超過4 公分)

T1b1

Ib2

Clinically visible lesion more than 4.0 cm in greatest dimension (子宮頸最大腫瘤直徑超過4 公分)

T1b2

II

Tumor invades beyond the uterus but not to pelvic wall or lower third of vagina (腫瘤侵襲已達子宮頸外組織,但未達骨盆壁及陰道下端1/3)

T2

IIa

Without parametrial invasion  (無子宮頸旁組織侵襲)

T2a

IIb

With parametrial invasion (已有子宮頸旁組織侵襲)

T2b

III

Tumor extends to pelvic wall and/or involves lower third of vagina and/or causes hydronephrosis or nonfunctional kidney(腫瘤侵襲達骨盆壁或達陰道下端1/3 或造成腎臟水腫或無功能腎臟)

T3

IIIa

Tumor involves lower third of vagina, no extension to pelvic wall (腫瘤侵襲達陰道下端1/3,未達骨盆壁)

T3a

IIIb

Tumor extends to pelvic wall and/or causes hydronephrosis or non-functional kidney (腫瘤侵襲達骨盆壁或造成腎臟水腫或無功能腎臟)

T3b

IVa

Tumor invades mucosa of bladder or rectum and/or extends beyond true pelvis (腫瘤侵襲膀胱或直腸之黏膜層,或延展超過真骨盆腔)

T4a

IVb

Distant metastasis (遠處轉移)

T4b M1