DATA FORM FOR CANCER STAGING - VULVA
Form # 785-1-042
| CLIN | PATH | DEFINITIONS | |
| PRIMARY TUMOR (T) | |||
| TX | Primary tumor cannot be assessed | ||
| T0 | No evidence of primary tumor | ||
| Tis | Preinvasive carcinoma (carcinoma in situ) | ||
| T1 | Tumor confined to the vulva or to the vulva and perineum, 2 cm or less in greatest dimension | ||
| T2 | Tumor confined to the vulva or to the vulva and perineum, more than 2 cm in greatest dimension | ||
| T3 | Tumor involves any of the following: lower urethra, vagina, or anus | ||
| T4 | Tumor invades any of the following: bladder mucosa, upper part of urethral mucosa, rectal mucosa or tumor fixed to the bone | ||
| LYMPH NODE (N) | |||
| Regional lymph nodes are the femoral and inguinal nodes | |||
| NX | Regional lymph nodes cannot be assessed | ||
| N0 | No regional lymph node metastasis bile | ||
| N1 | Unilateral regional lymph node metastasis | ||
| N2 | Bilateral regional lymph node metastasis | ||
| DISTANT METASTASIS (M) | |||
| MX | Presence of distant metastasis cannot be assessed | ||
| M0 | No distant metastasis | ||
| M1 | Distant metastasis (Pelvic lymph node metastasis is M1) | ||
| CLIN | PATH | STAGE GROUPING AJCC/UICC FIGO |
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| 0 | Tis | N0 | M0 | |||
| I | T1 | N0 | M0 | I | ||
| II | T2 | N0 | M0 | II | ||
| III | T1 | N1 | M0 | III | ||
| T2 | N1 | M0 | ||||
| T3 | N0 | M0 | ||||
| T3 | N1 | M0 | ||||
| IVA | T1 | N2 | M0 | IVA | ||
| T2 | N2 | M0 | ||||
| T3 | N2 | M0 | ||||
| T4 | Any N | M0 | ||||
| IVB | Any T | Any N | M1 | IVB | ||
THE FINAL STAGE GROUPING (CLINICAL & PATHOLOGICAL) IS THE RESPONSIBILITY OF THE ATTENDING PHYSICIAN.
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| Patient Name: |