0 |
In situ: noninvasive, intraepithelial |
1 |
Localized only (localized, NOS)
- FIGO Stage I
+ Confined to vagina
+ Musculature involved
+ Submucosa (stroma) (vagina) |
2 |
Regional by direct extension only
- FIGO Stage II
+ Bladder wall or bladder, NOS (excluding mucosa)
+ Cervix
+ Cul de sac (rectouterine pouch)
+ Extension to lower third of the vagina (from proximal vagina)
+ “Frozen pelvis” (clinically diagnosed)
+ Hydronephrosis or nonfunctioning kidney
+ Parametrium
+ Paravaginal soft tissue
+ Pelvic wall
* Fascia
* Muscle
* Neurovascular structures
* Skeletal portions of bony pelvis
+ Rectal wall or rectum, NOS excluding mucosa
+ Rectovaginal septum
+ Vesicovaginal septum
+ Vulva |
3 |
Regional lymph node(s) involved only
- Lower third of vagina
+ Femoral [superficial inguinal]
+ Inguinal, NOS
- Upper two thirds of vagina
+ Iliac (common, external, NOS)
+ Internal iliac (hypogastric)
+ Middle sacral (promontorial) (Gerota’s node)
+ Obturator
+ Para-aortic
+ Parametrial
+ Pelvic, NOS
+ Presacral
+ Sacral
- Regional lymph node(s), NOS
+ Lymph node(s), NOS |
4 |
Regional by BOTH direct extension AND regional lymph node(s) involved
- Codes (2) + (3) |
7 |
Distant site(s)/lymph node(s) involved
- Distant site(s) (including further contiguous extension)
+ FIGO Stage IVA
* Bladder mucosa (excluding bullous edema)
* Extension beyond true pelvis
* Rectal mucosa
* Urethra
- Distant lymph node(s), NOS
+ All sites
* Aortic (lateral [lumbar], para-aortic, periaortic, NOS)
* Retroperitoneal, NOS
+ Lower third of vagina
* Iliac (common, external, NOS)
* Internal iliac (hypogastric)
* Middle sacral (promontorial) (Gerota’s node)
* Obturator
* Para-aortic
* Parametrial
* Pelvic, NOS
* Presacral
* Sacral
* Superficial inguinal (femoral)
+ Upper two thirds of vagina
* Inguinal, NOS
- Distant metastasis, NOS
+ Carcinomatosis
+ Distant metastasis WITH or WITHOUT distant lymph node(s) |
9 |
Unknown if extension or metastasis |