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🎗️ Cervical Cancer FIGO 2018 Stage

Assign the FIGO 2018 cervical cancer stage from local extent, nodal status, adjacent-organ and distant spread, with a stage-specific management direction. Instant, browser-side.

Cervical Cancer FIGO 2018 Stage

Local tumour extent
Nodal metastasis (imaging r or pathology p)
Bladder/rectal mucosa or beyond true pelvis
Distant metastasis

When to use

Staging and first-line management direction for cervical cancer using the FIGO 2018 system (which incorporates imaging and pathology).

How it works

Highest level of involvement defines the stage: IA microscopic (≤ 3 / > 3–5 mm) → IB by size (≤ 2 / 2–4 / > 4 cm); II beyond uterus (IIA vagina / IIB parametria); III lower vagina (IIIA), pelvic wall/hydronephrosis (IIIB), pelvic nodes (IIIC1) / para-aortic (IIIC2); IVA mucosa/beyond pelvis, IVB distant.

Key points

  • A key 2018 change: any nodal metastasis (any size, imaging r or pathology p) upstages to IIIC, recorded with an r/p notation.
  • IB is subdivided by size (≤ 2 / > 2–4 / > 4 cm) into IB1/IB2/IB3 — a 2018 refinement over the older IB1/IB2 split.
  • Early disease (≤ IIA1) is mainly surgical; IB3 and locally advanced disease are mainly concurrent platinum chemoradiation + brachytherapy.
  • Fertility-sparing options exist for selected IA–IB1 disease.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

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