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].