Pathologic T

This input is used for staging


**Note 1:** FIGO does not include an in situ category for tumors of the vagina, but TNM does. Assign pTis (behavior code /2) for in situ cases. **Note 2:** When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and extension information on the primary tumor are available, use the extension information to assign the T in preference to a statement of FIGO stage - see Registrar notes. * If the only information is (pathologic) FIGO III, assign the appropriate stage and leave pathologic T, N, and M blank. If the only information is (pathologic) FIGO stage IVB, leave pathologic T and N blank and see M **Note 3:** The presence of bullous edema is not sufficient evidence to classify a tumor as T4. **Note 4:** The pelvic wall is defined as muscle, fascia, neurovascular structures, or skeletal portions of the bony pelvis.


Pathologic T Pathologic T Display Description Registrar Notes
pX pTX Primary tumor cannot be assessed Pathologic classification criteria met, evaluation done:
Physician unable to assess T
Surgical resection primary tumor, extension not stated
Physician assigns pTX, no other information available to determine T
p0 pT0 No evidence of primary tumor
pIS pTis Carcinoma in situ (preinvasive carcinoma) Intraepithelial, noninvasive
p1 pT1 Tumor confined to vagina Invasive cancer confined to:
Submucosa (stroma) (vagina)

Musculature involved

Localized, NOS

FIGO Stage I

Stated as T1
p2 pT2 Tumor invades paravaginal tissues (pracolpium) Cervix
Cul de sac (rectouterine pouch)
Paravaginal soft tissue
Rectovaginal septum
Vesicovaginal septum


Stated as T2
p3 pT3 Tumor extends to pelvic wall Extension to:
Bladder wall or bladder, NOS excluding mucosa
Pelvic wall (described clinically as frozen pelvis)
Rectal wall or rectum, NOS excluding mucosa

Stated as T3
p4 pT4 Tumor invades mucosa of bladder or rectum, OR

Extends beyond the true pelvis
Extension to:
Bladder mucosa (excluding bullous edema)
Rectal mucosa


Stated as T4
88 88 Not applicable Primary site/histology not TNM defined
Death certificate only (DCO) case
<BLANK> BLANK See Registrar Notes Only information is FIGO Stage III or IVB

Pathologic classification not met
Pathologic classification criteria met, evaluation done:
Results not documented in patient record
No surgical resection of known primary tumor (not T0) OR
Resection insufficient for site-specific pathologic assessment
No surgical resection of primary tumor and there isn't a positive biopsy of a structure in the highest T category and highest N category
Evidence of metastatic disease (pM1), no other workup