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中山醫學大學附設醫院 - 癌症中心

分期

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

IB

  Stromal invasion more than 5.0 mm or horizontal spread more than 7.0 mm or less (侵襲癌,子宮頸基質侵襲超過5 毫米、或 水平徑超過7 毫米) T1b
 

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

 

vagina invaded <1/3; Without parametrial invasion

 (腫瘤侵襲已達陰道上端1/3,但未達子宮頸旁組織、骨盆壁及陰道下端1/3)

T2a

 

      IIa1

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

      IIa2

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)  

IIb

 

vagina invaded parametrium (已有子宮頸旁組織腫瘤,但未達骨盆壁及陰道下端1/3)()

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