Derived Summary Stage 2018: Vagina

Derived Summary Stage 2018

Default

9

NAACCR Item

NAACCR #762
SS2018 Description
0

In situ: noninvasive, intraepithelial
1

Localized only (localized, NOS)

  • Confined to vagina
  • Musculature involved
  • Submucosa (stroma) (vagina)

FIGO Stage I
2

Regional by direct extension only

  • 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

FIGO Stage II
FIGO Stage III WITHOUT lymph node involvement
3

Regional lymph node(s) involved only

  • Lower third of vagina (ipsilateral and bilateral)

    • Femoral
    • Inguinal, NOS
      • Inguinofemoral (groin)
      • Node of Cloquet or Rosenmuller (highest deep inguinal)
      • Superficial inguinal

  • Upper two thirds of vagina

    • Pelvic, NOS
      • Iliac, NOS
        • Common
        • External
        • Internal (hypogastric) (obturator)
      • Paracervical
      • Parametrial
      • Sacral, NOS
        • Lateral (laterosacral)
        • Middle (promontorial) (Gerota's node)
        • Presacral
        • Uterosacral

  • Regional lymph node(s), NOS

    • Lymph node(s), NOS

FIGO Stage III

  • Localized tumor WITH regional lymph node involvement
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)

    • Bladder mucosa (excluding bullous edema)
    • Extension beyond true pelvis
    • Rectal mucosa
    • Urethra

  • Distant lymph node(s), NOS

    • All sites

      • Mediastinal
      • Para-aortic, NOS
        • Aortic
        • Lateral aortic/lateral lumbar
        • Periaortic
      • Retroperitoneal, NOS
      • Scalene

    • Lower third of vagina (ipsilateral and bilateral)

      • Pelvic, NOS
      • Iliac, NOS
        • Common
        • External
        • Internal (hypogastric) (obturator)
      • Paracervical
      • Parametrial
      • Sacral, NOS
        • Lateral (laterosacral)
        • Middle (promontorial) (Gerota's node)
        • Presacral
        • Uterosacral

    • Upper two thirds of vagina

      • Femoral
      • Inguinal, NOS
        • Inguinofemoral (groin)
        • Node of Cloquet or Rosenmuller (highest deep inguinal)
        • Superficial inguinal

  • Distant metastasis, NOS

    • Carcinomatosis
    • Distant metastasis WITH or WITHOUT distant lymph node(s)

FIGO Stage IV (IVA, IVB, IV NOS)
9

Unknown if extension or metastasis