18. Primary vaginal cancer and vaginal recurrences - The GEC-ESTRO Handbook of Brachytherapy
Primary vaginal cancer and vaginal recurrences
5
THE GEC ESTRO HANDBOOK OF BRACHYTHERAPY | Part II Clinical Practice Version 1 - 01/09/2023
TABLE 1 FIGO AND TNM STAGE FOR PRIMARY VAGINAL CANCER. FIGO stage TNM stage
Primary tumour definition
Primary tumour
Regional lymph nodes Distant metastasis
I
T1
N0
M0
Tumour confined to the vagina
II
T2
N0
M0
Tumour invades paravaginal tissue
III
T3
N0
M0
Tumour extends to pelvic wall
IVA
T4
N0
M0
Tumour invades bladder or rectum or extends beyond true pelvis
IVB
Any T
Any N
M1
90%
FIGO=International Federation of Gynaecology and Obstetrics; TNM=Tumour, Node, and Metastasis; N0=no regional lymph node metastasis; N1=regional lymph node metastasis; M0=no distant metastasis; M1=distant metastasis.
Figure 2a.
Figure 2b.
Figure 2. Clinical drawing cartoons (a) with and (b) without uterus in situ that can be used for precise and reproducible description of the local extend of the vaginal tumour at the time of diagnosis and brachytherapy. Re-used with permission from Schmid et. al. [12].
Made with FlippingBook Ebook Creator