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Carcinoma of the vulva: FIGO staging (2021)

Carcinoma of the vulva: FIGO staging (2021)
Stage Description
I Tumor confined to the vulva
IA Tumor size ≤2 cm and stromal invasion ≤1 mm*
IB Tumor size >2 cm or stromal invasion >1 mm*
II Tumor of any size with extension to lower one-third of the urethra, lower one-third of the vagina, lower one-third of the anus with negative nodes
III Tumor of any size with extension to upper part of adjacent perineal structures, or with any number of nonfixed, nonulcerated lymph nodes
IIIA Tumor of any size with disease extension to upper two-thirds of the urethra, upper two-thirds of the vagina, bladder mucosa, rectal mucosa, or regional lymph node metastases ≤5 mm
IIIB Regional lymph node metastases >5 mm
IIIC Regional lymph node metastases with extracapsular spread
IV Tumor of any size fixed to bone, or fixed, ulcerated lymph node metastases, or distant metstases
IVA Disease fixed to pelvic bone, or fixed or ulcerated regional lymph node metatases
IVB Distant metastases

* Depth of invasion is measured from the basement membrane of the deepest, adjacent, dysplastic, tumor-free rete ridge (or nearest dysplastic rete peg) to the deepest point of invasion.

¶ Regional refers to inguinal and femoral lymph nodes.
From: Olawaiye AB, Cotler J, Cuello MA, et al. FIGO staging for carcinoma of the vulva: 2021 revision. Int J Gynaecol Obstet 2021; 155:43. https://onlinelibrary.wiley.com/doi/10.1002/ijgo.13880. Copyright © 2021 The Authors. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: [email protected] or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (https://onlinelibrary.wiley.com/).
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