Vol 81, No 10 (2010)
ARTICLES
Revised FIGO staging systems for gynecologic malignancies – 2009 update
Kamil Zalewski, Jacek Doniec, Włodzimierz Baranowski, Mariusz Bidziński
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.
Keywords
uterine neoplasma, uterine cervical neoplasms, Vulvar Neoplasms, neoplasm staging
Title
Revised FIGO staging systems for gynecologic malignancies – 2009 update
Journal
Ginekologia Polska
Issue
Vol 81, No 10 (2010)
Page views
1446
Article views/downloads
14492
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