Staging - vaginal carcinoma

Author: Nat Pernick, M.D. (see Authors page)

Revised: 2 October 2017, last major update March 2003

Copyright: (c) 2002-2017,, Inc.

PubMed Search: Staging vaginal carcinoma [title]

Table of Contents
Definition / general
Cite this page: Pernick, N. Staging - vaginal carcinoma. website. Accessed August 19th, 2018.
Definition / general
  • Includes tumors with primary site of growth in vagina only
  • Exclude tumors reaching area of cervical external os (cervical carcinoma), growths limited to urethra (urethral carcinoma), vulvar carcinoma
  • No changes from AJCC 6th to 7th edition

Primary tumor (T) and FIGO stages in ( )
  • TX: primary tumor cannot be assessed
  • T0: no evidence of primary tumor
  • Tis: carcinoma in situ (preinvasive carcinoma)
  • T1 (I): tumor confined to the vagina
  • T2 (II): tumor invades paravaginal tissues but not to pelvic wall
  • T3 (III): tumor extends to pelvic wall (muscle, fascia, neurovascular structures or skeletal portions of bony pelvis; on rectal examination, there is no cancer free space between the tumor and pelvic wall)
  • T4 (IVA): tumor invades mucosa of bladder or rectum or extends beyond the true pelvis (bullous edema is not sufficient evidence to classify a tumor as T4)

  • Note: FIGO no longer includes stage 0 (Tis)

Regional lymph nodes (N) and FIGO stages in ( )
  • NX: regional lymph nodes cannot be assessed
  • N0: no regional lymph node metastasis
  • N1 (III): pelvic or inguinal lymph node metastasis

Distant Metastasis (M) and FIGO stages in ( )
  • M0: no distant metastasis
  • M1 (IVB): distant metastasis

Stage grouping and FIGO stages in ( )
  • Stage 0: T1s N0 M0
  • Stage I: T1 N0 M0
  • Stage II: T2 N0 M0
  • Stage III: T1 - 3 N1 M0 or T3 N0 M0
  • Stage IVA: T4 any N M0
  • Stage IVB: any T any N M1

  • Note: FIGO no longer includes stage 0 (Tis)