Papillary Serous Carcinoma of the Uterine Cervix with Lung Metastasis

Table 1

Carcinoma of the cervix uteri: Féderation Internationale de Gynécologie et d’Obstétrique (FIGO) staging system (adapted from Reference [4]).

Stage
I	The carcinoma is strictly confined to the cervix (extension to the corpus would be disregarded).
IA	Invasive carcinoma, which can be diagnosed only by microscopy with deepest invasion ≤5 mm and largest extension ≥7 mm.
IA1	Measured stromal invasion of ≤3.0 mm in depth and extension of ≤7.0 mm.
IA2	Measured stromal invasion of >3.0 mm and not >5.0 mm with an extension of not >7.0 mm.
IB	Clinically visible lesions limited to the cervix uteri or preclinical cancers greater than stage IA^b.
IB1	Clinically visible lesion ≤4.0 cm in the greatest dimension.
IB2	Clinically visible lesion >4.0 cm in the greatest dimension.
II	Cervical carcinoma invades beyond the uterus but not to the pelvic wall or to the lower third of the vagina.
IIA	Without parametrial invasion.
IIA1	Clinically visible lesion ≤4.0 cm in the greatest dimension.
IIB2	Clinically visible lesion >4.0 cm in the greatest dimension.
IIB	With obvious parametrial invasion.
III	The tumor extends to the pelvic wall and/or involves lower third of the vagina and/or causes hydronephrosis or nonfunctioning kidney unless they are known to be due to other causes.
IIIA	Tumor involves lower third of the vagina with no extension to the pelvic wall.
IIIB	Extension to the pelvic wall and/or hydronephrosis or nonfunctioning kidney.
IV	The carcinoma has extended beyond the true pelvis or has involved (biopsy proven) the mucosa of the bladder or rectum. A bullous edema, as such, does not permit a case to be allotted to stage IV.
IVA	Spread of the growth to adjacent organs.
IVB	Spread to distant organs.

bThe depth of invasion should not be more than 5 mm taken from the base of the epithelium, either surface of glandular epithelium, from which it originates.