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Vol 81, No 10 (2010)
ARTICLES
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Revised FIGO staging systems for gynecologic malignancies – 2009 update

Kamil Zalewski, Jacek Doniec, Włodzimierz Baranowski, Mariusz Bidziński
Ginekol Pol 2010;81(10).

open access

Vol 81, No 10 (2010)
ARTICLES

Abstract

Abstract Neoplasm staging system was created to facilitate making diagnoses and planning treatment for cancer patients. Since medical research and practice in the field of oncology have shown explosive growth, the staging of some of the gynecologic cancers did not give a good spread of prognostic groupings. In the light of these breakthroughs, the following changes to the staging of gynecological cancers were proposed and approved by the FIGO Committee. In vulvar cancer Stage IA remained unchanged but Stage I and II have been combined. The number and morphology of the involved nodes have been taken into account, and the bilaterality of positive nodes has been discounted. In cervical cancer Stage 0 has been deleted and substages in Stage IIA have been included. In endometrial cancer Stage IA and IB have been combined so that now Stage IA involves the endometrium and/or less than one-half myometrial invasion and IB is equal to or greater than the outer one-half of the myometrium. Stage II no longer has a subset A and B. Involvement in the endocervical glandular portion of the cervix is now considered Stage I. Pelvic and para-aortic node involvement have been separated. The committee has also established a sarcoma staging system based on the criteria used in other soft tissue sarcomas.

Abstract

Abstract Neoplasm staging system was created to facilitate making diagnoses and planning treatment for cancer patients. Since medical research and practice in the field of oncology have shown explosive growth, the staging of some of the gynecologic cancers did not give a good spread of prognostic groupings. In the light of these breakthroughs, the following changes to the staging of gynecological cancers were proposed and approved by the FIGO Committee. In vulvar cancer Stage IA remained unchanged but Stage I and II have been combined. The number and morphology of the involved nodes have been taken into account, and the bilaterality of positive nodes has been discounted. In cervical cancer Stage 0 has been deleted and substages in Stage IIA have been included. In endometrial cancer Stage IA and IB have been combined so that now Stage IA involves the endometrium and/or less than one-half myometrial invasion and IB is equal to or greater than the outer one-half of the myometrium. Stage II no longer has a subset A and B. Involvement in the endocervical glandular portion of the cervix is now considered Stage I. Pelvic and para-aortic node involvement have been separated. The committee has also established a sarcoma staging system based on the criteria used in other soft tissue sarcomas.
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Keywords

uterine neoplasma, uterine cervical neoplasms, Vulvar Neoplasms, neoplasm staging

About this article
Title

Revised FIGO staging systems for gynecologic malignancies – 2009 update

Journal

Ginekologia Polska

Issue

Vol 81, No 10 (2010)

Bibliographic record

Ginekol Pol 2010;81(10).

Keywords

uterine neoplasma
uterine cervical neoplasms
Vulvar Neoplasms
neoplasm staging

Authors

Kamil Zalewski
Jacek Doniec
Włodzimierz Baranowski
Mariusz Bidziński

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