Page 67 - CPG มะเร็งปากมดลูก

แนวทางการปอ? งกันและรกั ษามะเรง็ ปากมดลูก 61

TNM FIGO Description

T2a2 IIA2 Invasive carcinoma > 4 cm in greatest dimension

T2b IIB With parametrial invasion but not up to the pelvic wall

T3 III The carcinoma involves the lower third of the vagina and/or extends to
the pelvic wall and/or causes hydronephrosis or nonfunctioning kidney

T3a IIIA Carcinoma involves the lower one-third of the vagina, with no extension
to the pelvic wall

T3b IIIB Extension to pelvic wall and/or causes hydronephrosis or non functioning
kidney (unless known to be due to another cause)

T4 IVA Carcinoma has involved (biopsy-proven) the mucosa of the bladder or
rectum or has spread to adjacent organs (A bullous edema does not
permit a case to be allotted to Stage IV)
Lymph node (N)

NX Regional lymph nodes cannot be assessed

N0 No regional lymph node metastasis

N0(i+) Isolated tumor cells in regional lymph node(s) ? 0.2 mm or single cells or
clusters of cells ? 200 cells in a single lymph node cross-section

N1 IIIC1 Regional lymph node metastasis to pelvic lymph nodes only

N1mi Regional lymph node metastasis (>0.2 mm but ? 2.0 mm in greatest
dimension) to pelvic lymph nodes

N1a Regional lymph node metastasis (>2.0 mm in greatest dimension) to pelvic
lymph nodes

N2 IIIC2 Regional lymph node metastasis to para-aortic lymph nodes, with or
without positive pelvic lymph nodes

N2mi Regional lymph node metastasis (>0.2 mm but ? 2.0 mm in greatest
dimension) to para-aortic lymph nodes, with or without positive pelvic
lymph nodes

N2a Regional lymph node metastasis (>2.0 mm in greatest dimension) to para-
aortic lymph nodes, with or without positive pelvic lymph nodes