Cervix Uteri - TNM Calc
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Primary Tumor (T)
Regional Lymph Nodes (N)
Distant Metastasis (M)
R e s u l t s
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Cervix Uteri - TNM Calc

This view displays the TNM formula. Please select appropriate value from the list for T/N/M variables. The result will be displayed, based on your selection of variables.

Assignment of AJCC TNM

AJCC data elements required for staging are identified with an asterisk (*).

*Stage classification based on time frame and criteria(see Rules for Classification)

The same classification should be used throughout the assignment of TNM and stage group.

T CategoryFIGO Stage T Criteria
TXN/APrimary tumor cannot be assessed
T0N/ANo evidence of primary tumor
T1ICarcinoma is strictly confined to the cervix (extension to the corpus should be disregarded)
T1aIAInvasive carcinoma that can be diagnosed only by microscopy with maximum depth of invasion 5 mm
T1a1IA1Measured stromal invasion 3 mm in depth
T1a2IA2Measured stromal invasion 3 mm and 5 mm in depth
T1bIBInvasive carcinoma with measured deepest invasion 5 mm (greater than stage IA); lesion limited to the cervix uteri with size measured by maximum tumor diameter

The involvement of vascular/lymphatic spaces should not change the staging. The lateral extent of the lesion is no longer considered.

T1b1IB1Invasive carcinoma 5 mm depth of stromal invasion and 2 cm in greatest dimension
T1b2IB2Invasive carcinoma 2 cm and 4 cm in greatest dimension
T1b3IB3Invasive carcinoma 4 cm in greatest dimension
T2IICervical carcinoma invades beyond the cervix, but has not extended onto the lower third of the vagina or to the pelvic wall
T2aIIAInvolvement limited to the upper two-thirds of the vagina without parametrial invasion
T2a1IIA1Invasive carcinoma 4 cm in greatest dimension
T2a2IIA2Invasive carcinoma 4 cm in greatest dimension
T2bIIBWith parametrial invasion but not up to the pelvic wall
T3IIICarcinoma involves the lower third of the vagina and/or extends to the pelvic wall and/or causes hydronephrosis or non-functioning kidney

The pelvic wall is defined as the muscle, fascia, neurovascular structures, and skeletal portions of the bony pelvis. Cases with no cancer-free space between the tumor and pelvic wall by rectal examination are FIGO III.

T3aIIIACarcinoma involves lower third of the vagina, with no extension to the pelvic wall
T3bIIIBExtension to the pelvic wall and/or hydronephrosis or non-functioning kidney (unless known to be due to another cause)
T4IVACarcinoma has involved (biopsy proven) the mucosa of the bladder or rectum, or has spread to adjacent organs. (Bullous edema, as such, does not permit a case to be allotted to stage IVA)
cT CategoryFIGO Stage cT Criteria
cTXN/APrimary tumor cannot be assessed
cT0N/ANo evidence of primary tumor
cT1ICarcinoma is strictly confined to the cervix (extension to the corpus should be disregarded)
cT1aIAInvasive carcinoma that can be diagnosed only by microscopy with maximum depth of invasion 5 mm
cT1a1IA1Measured stromal invasion 3 mm in depth
cT1a2IA2Measured stromal invasion 3 mm and 5 mm in depth
cT1bIBInvasive carcinoma with measured deepest invasion 5 mm (greater than stage IA); lesion limited to the cervix uteri with size measured by maximum tumor diameter

The involvement of vascular/lymphatic spaces should not change the staging. The lateral extent of the lesion is no longer considered.

cT1b1IB1Invasive carcinoma 5 mm depth of stromal invasion and 2 cm in greatest dimension
cT1b2IB2Invasive carcinoma 2 cm and 4 cm in greatest dimension
cT1b3IB3Invasive carcinoma 4 cm in greatest dimension
cT2IICervical carcinoma invades beyond the cervix, but has not extended onto the lower third of the vagina or to the pelvic wall
cT2aIIAInvolvement limited to the upper two-thirds of the vagina without parametrial invasion
cT2a1IIA1Invasive carcinoma 4 cm in greatest dimension
cT2a2IIA2Invasive carcinoma 4 cm in greatest dimension
cT2bIIBWith parametrial invasion but not up to the pelvic wall
cT3IIICarcinoma involves the lower third of the vagina and/or extends to the pelvic wall and/or causes hydronephrosis or non-functioning kidney

The pelvic wall is defined as the muscle, fascia, neurovascular structures, and skeletal portions of the bony pelvis. Cases with no cancer-free space between the tumor and pelvic wall by rectal examination are FIGO III.

cT3aIIIACarcinoma involves lower third of the vagina, with no extension to the pelvic wall
cT3bIIIBExtension to the pelvic wall and/or hydronephrosis or non-functioning kidney (unless known to be due to another cause)
cT4IVACarcinoma has involved (biopsy proven) the mucosa of the bladder or rectum, or has spread to adjacent organs. (Bullous edema, as such, does not permit a case to be allotted to stage IVA)
pT CategoryFIGO StagepT Criteria
pTXN/APrimary tumor cannot be assessed
pT0N/ANo evidence of primary tumor
pT1ICarcinoma is strictly confined to the cervix (extension to corpus should be disregarded)
pT1aIAInvasive carcinoma that can be diagnosed only by microscopy with maximum depth of invasion 5 mm
pT1a1IA1Measured stromal invasion 3 mm in depth
pT1a2IA2Measured stromal invasion 3 mm and 5 mm in depth
pT1bIBInvasive carcinoma with measured deepest invasion 5 mm (greater than stage IA); lesion limited to the cervix uteri with size measured by maximum tumor diameter

The involvement of vascular/lymphatic spaces should not change the staging. The lateral extent of the lesion is no longer considered

pT1b1IB1Invasive carcinoma 5 mm depth of stromal invasion and 2 cm in greatest dimension
pT1b2IB2Invasive carcinoma 2 cm and 4 cm in greatest dimension
pT1b3IB3Invasive carcinoma 4 cm in greatest dimension
pT2IICervical carcinoma invades beyond the cervix, but has not extended onto the lower third of the vagina or to the pelvic wall
pT2aIIAInvolvement limited to the upper two-thirds of the vagina without parametrial invasion
pT2a1IIA1Invasive carcinoma 4 cm in greatest dimension
pT2a2IIA2Invasive carcinoma 4 cm in greatest dimension
pT2bIIBWith parametrial invasion but not up to the pelvic wall
pT3IIICarcinoma involves the lower third of the vagina and/or extends to the pelvic wall and/or causes hydronephrosis or non-functioning kidney

The pelvic wall is defined as the muscle, fascia, neurovascular structures, and skeletal portions of the bony pelvis. Cases with no cancer-free space between the tumor and pelvic wall by rectal examination are FIGO III.

pT3aIIIACarcinoma involves lower third of the vagina, with no extension to the pelvic wall
pT3bIIIBExtension to the pelvic wall and/or hydronephrosis or non-functioning kidney (unless known to be due to another cause)
pT4IVACarcinoma has involved (biopsy proven) the mucosa of the bladder or rectum, or has spread to adjacent organs. (Bullous edema, as such, does not permit a case to be allotted to stage IVA)
cTXN/APrimary tumor cannot be assessed
cT0N/ANo evidence of primary tumor
cT1ICervical carcinoma confined to the uterus (extension to corpus should be disregarded)
cT1aIAInvasive carcinoma that can be diagnosed only by microscopy with maximum depth of invasion 5 mm
cT1a1IA1Measured stromal invasion 3 mm in depth
cT1a2IA2Measured stromal invasion 3 mm and 5 mm in depth
cT1bIBInvasive carcinoma with measured deepest invasion 5 mm (greater than stage IA); lesion limited to the cervix uteri with size measured by maximum tumor diameter

The involvement of vascular/lymphatic spaces should not change the staging. The lateral extent of the lesion is no longer considered.

cT1b1IB1Invasive carcinoma 5 mm depth of stromal invasion and 2 cm in greatest dimension
cT1b2IB2Invasive carcinoma 2 cm and 4 cm in greatest dimension
cT1b3IB3Invasive carcinoma 4 cm in greatest dimension
cT2IICervical carcinoma invades beyond the cervix, but has not extended onto the lower third of the vagina or to the pelvic wall
cT2aIIAInvolvement limited to the upper two-thirds of the vagina without parametrial invasion
cT2a1IIA1Invasive carcinoma 4 cm in greatest dimension
cT2a2IIA2Invasive carcinoma 4 cm in greatest dimension
cT2bIIBWith parametrial invasion but not up to the pelvic wall
cT3IIICarcinoma involves the lower third of the vagina and/or extends to the pelvic wall and/or causes hydronephrosis or non-functioning kidney

The pelvic wall is defined as the muscle, fascia, neurovascular structures, and skeletal portions of the bony pelvis. Cases with no cancer-free space between the tumor and pelvic wall by rectal examination are FIGO III.

cT3aIIIACarcinoma involves lower third of the vagina, with no extension to the pelvic wall
cT3bIIIBExtension to the pelvic wall and/or hydronephrosis or non-functioning kidney (unless known to be due to another cause)
cT4IVACarcinoma has involved (biopsy proven) the mucosa of the bladder or rectum, or has spread to adjacent organs. (Bullous edema, as such, does not permit a case to be allotted to stage IVA)
ycT CategoryFIGO Stage ycT Criteria
ycTXN/APrimary tumor cannot be assessed
ycT0N/ANo evidence of primary tumor
ycT1ICarcinoma is strictly confined to the cervix (extension to corpus should be disregarded)
ycT1aIAInvasive carcinomathat can be diagnosed only by microscopy with maximum depth of invasion 5 mm
ycT1a1IA1Measured stromal invasion 3 mm in depth
ycT1a2IA2Measured stromal invasion 3 mm and 5 mm in depth
ycT1bIBInvasive carcinoma with measured deepest invasion 5 mm (greater than stage IA); lesion limited to the cervix uteri with size measured by maximum tumor diameter

The involvement of vascular/lymphatic spaces should not change the staging. The lateral extent of the lesion is no longer considered.

ycT1b1IB1Invasive carcinoma 5 mm depth of stromal invasion and 2 cm in greatest dimension
ycT1b2IB2Invasive carcinoma 2 cm and 4 cm in greatest dimension
ycT1b3IB3Invasive carcinoma 4 cm in greatest dimension
ycT2IICervical carcinoma invades beyond the cervix, but has not extended onto the lower third of the vagina or to the pelvic wall
ycT2aIIAInvolvement limited to the upper two-thirds of the vagina without parametrial invasion
ycT2a1IIA1Invasive carcinoma 4 cm in greatest dimension
ycT2a2IIA2Invasive carcinoma 4 cm in greatest dimension
ycT2bIIBWith parametrial invasion but not up to the pelvic wall
ycT3IIICarcinoma involves the lower third of the vagina and/or extends to the pelvic wall and/or causes hydronephrosis or non-functioning kidney

The pelvic wall is defined as the muscle, fascia, neurovascular structures, and skeletal portions of the bony pelvis. Cases with no cancer-free space between the tumor and pelvic wall by rectal examination are FIGO III.

ycT3aIIIACarcinoma involves lower third of the vagina, with no extension to the pelvic wall
ycT3bIIIBExtension to the pelvic wall and/or hydronephrosis or non-functioning kidney (unless known to be due to another cause)
ycT4IVACarcinoma has involved (biopsy proven) the mucosa of the bladder or rectum, or has spread to adjacent organs. (Bullous edema, as such, does not permit a case to be allotted to stage IVA)
ypT CategoryFIGO StageypT Criteria
ypTXN/APrimary tumor cannot be assessed
ypT0N/ANo evidence of primary tumor
ypT1ICarcinoma is strictly confined to the cervix (extension to corpus should be disregarded)
ypT1aIAInvasive carcinoma that can be diagnosed only by microscopy with maximum depth of invasion 5 mm
ypT1a1IA1Measured stromal invasion 3 mm in depth
ypT1a2IA2Measured stromal invasion 3 mm and 5 mm in depth
ypT1bIBInvasive carcinoma with measured deepest invasion 5 mm (greater than stage IA); lesion limited to the cervix uteri with size measured by maximum tumor diameter

The involvement of vascular/lymphatic spaces should not change the staging. The lateral extent of the lesion is no longer considered.

ypT1b1IB1Invasive carcinoma 5 ›mm depth of stromal invasion and 2 cm in greatest dimension
ypT1b2IB2Invasive carcinoma 2 cm and 4 cm in greatest dimension
ypT1b3IB3Invasive carcinoma 4 cm in greatest dimension
ypT2IICervical carcinoma invades beyond the cervix, but has not extended onto the lower third of the vagina or to the pelvic wall
ypT2aIIAInvolvement limited to the upper two-thirds of the vagina without parametrial invasion
ypT2a1IIA1Invasive carcinoma 4 cm in greatest dimension
ypT2a2IIA2Invasive carcinoma 4 cm in greatest dimension
ypT2bIIBWith parametrial invasion but not up to the pelvic wall
ypT3IIICarcinoma involves the lower third of the vagina and/or extends to the pelvic wall and/or causes hydronephrosis or non-functioning kidney

The pelvic wall is defined as the muscle, fascia, neurovascular structures, and skeletal portions of the bony pelvis. Cases with no cancer-free space between the tumor and pelvic wall by rectal examination are FIGO III.

ypT3aIIIACarcinoma involves lower third of the vagina, with no extension to the pelvic wall
ypT3bIIIBExtension to the pelvic wall and/or hydronephrosis or non-functioning kidney (unless known to be due to another cause)
ypT4IVACarcinoma has involved (biopsy proven) the mucosa of the bladder or rectum, or has spread to adjacent organs. (Bullous edema, as such, does not permit a case to be allotted to stage IVA)
N CategoryFIGO StageN Criteria
NXN/ARegional lymph nodes cannot be assessed
N0N/ANo regional lymph node metastasis
N0(i+)N/AIsolated 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
N1IIIC1Regional lymph node metastasis to pelvic lymph nodes only
N1miIIIC1Regional lymph node metastasis ( 0.2 mm but 2.0 mm in diameter) to pelvic lymph nodes
N1aIIIC1Regional lymph node metastasis ( 2.0 mm in diameter) to pelvic lymph nodes
N2IIIC2Regional lymph node metastasis to paraaortic lymph nodes, with or without positive pelvic lymph nodes
N2miIIIC2Regional lymph node metastasis ( 0.2 mm but 2.0 mm in diameter) to para-aortic lymph nodes, with or without positive pelvic lymph nodes
N2aIIIC2Regional lymph node metastasis ( 2.0 mm in diameter) to para-aortic lymph nodes, with or without positive pelvic lymph nodes

Suffix (f) is added to the N category when metastasis is identified only by FNA or core biopsy. Suffix (sn) is added to the N category when metastasis is identified only by sentinel lymph node biopsy.

cN CategoryFIGO StagecN Criteria
cNXN/ARegional lymph nodes cannot be assessed
cN0N/ANo regional lymph node metastasis
cN0(i+)N/AIsolated 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
cN1IIIC1Regional lymph node metastasis to pelvic lymph nodes only
cN1miIIIC1Regional lymph node metastasis ( 0.2 mm but 2.0 mm in diameter) to pelvic lymph nodes
cN1aIIIC1Regional lymph node metastasis ( 2.0 mm in diameter) to pelvic lymph nodes
cN2IIIC2Regional lymph node metastasis to paraaortic lymph nodes, with or without positive pelvic lymph nodes
cN2miIIIC2Regional lymph node metastasis ( 0.2 mm but 2.0 mm in diameter) to para-aortic lymph nodes, with or without positive pelvic lymph nodes
cN2aIIIC2Regional lymph node metastasis ( 2.0 mm in diameter) to para-aortic lymph nodes, with or without positive pelvic lymph nodes

Suffix (f) is added to the N category when metastasis is identified only by FNA or core biopsy. Suffix (sn) is added to the N category when metastasis is identified only by sentinel lymph node biopsy.

pN CategoryFIGO StagepN Criteria
pNXN/ARegional lymph nodes cannot be assessed
pN0N/ANo regional lymph node metastasis
pN0(i+)N/AIsolated 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
pN1IIIC1Regional lymph node metastasis to pelvic lymph nodes only
pN1miIIIC1Regional lymph node metastasis ( 0.2 mm but 2.0 mm in diameter) to pelvic lymph nodes
pN1aIIIC1Regional lymph node metastasis ( 2.0 mm in diameter) to pelvic lymph nodes
pN2IIIC2Regional lymph node metastasis to paraaortic lymph nodes, with or without positive pelvic lymph nodes
pN2miIIIC2Regional lymph node metastasis ( 0.2 mm but 2.0 mm in diameter) to para-aortic lymph nodes, with or without positive pelvic lymph nodes
pN2aIIIC2Regional lymph node metastasis ( 2.0 mm in diameter) to para-aortic lymph nodes, with or without positive pelvic lymph nodes
cNXN/ARegional lymph nodes cannot be assessed
cN0N/ANo regional lymph node metastasis
cN0(i+)N/AIsolated tumor cells in regional lymph node(s) than 0.2 mm, or single cells or clusters of cells 200 cells in a single lymph node cross section
cN1IIIC1Regional lymph node metastasis to pelvic lymph nodes only
cN1miIIIC1Regional lymph node metastasis ( 0.2 mm but 2.0 mm in diameter) to pelvic lymph nodes
cN1aIIIC1Regional lymph node metastasis ( 2.0 mm in diameter) to pelvic lymph nodes
cN2IIIC2Regional lymph node metastasis to paraaortic lymph nodes, with or without positive pelvic lymph nodes
cN2miIIIC2Regional lymph node metastasis ( 0.2 mm but 2.0 mm in diameter) to para-aortic lymph nodes, with or without positive pelvic lymph nodes
cN2aIIIC2Regional lymph node metastasis ( 2.0 mm in diameter) to para-aortic lymph nodes, with or without positive pelvic lymph nodes

Suffix (f) is added to the N category when metastasis is identified only by FNA or core biopsy. Suffix (sn) is added to the N category when metastasis is identified only by sentinel lymph node biopsy.

ycN CategoryFIGO StageycN Criteria
ycNXN/ARegional lymph nodes cannot be assessed
ycN0N/ANo regional lymph node metastasis
ycN0(i+)N/AIsolated 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
ycN1IIIC1Regional lymph node metastasis to pelvic lymph nodes only
ycN1miIIIC1Regional lymph node metastasis ( 0.2 mm but 2.0 mm in diameter) to pelvic lymph nodes
ycN1aIIIC1Regional lymph node metastasis ( 2.0 mm in diameter) to pelvic lymph nodes
ycN2IIIC2Regional lymph node metastasis to paraaortic lymph nodes, with or without positive pelvic lymph nodes
ycN2miIIIC2Regional lymph node metastasis ( 0.2 mm but 2.0 mm in diameter) to para-aortic lymph nodes, with or without positive pelvic lymph nodes
ycN2aIIIC2Regional lymph node metastasis ( 2.0 mm in diameter) to para-aortic lymph nodes, with or without positive pelvic lymph nodes

Suffix (f) is added to the N category when metastasis is identified only by FNA or core biopsy. Suffix (sn) is added to the N category when metastasis is identified only by sentinel lymph node biopsy.

ypN CategoryFIGO StageypN Criteria
ypNXN/ARegional lymph nodes cannot be assessed
ypN0N/ANo regional lymph node metastasis
ypN0(i+)N/AIsolated 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
ypN1IIIC1Regional lymph node metastasis to pelvic lymph nodes only
ypN1miIIIC1Regional lymph node metastasis ( 0.2 mm but 2.0 mm in diameter) to pelvic lymph nodes
ypN1aIIIC1Regional lymph node metastasis ( 2.0 mm in diameter) to pelvic lymph nodes
ypN2IIIC2Regional lymph node metastasis to paraaortic lymph nodes, with or without positive pelvic lymph nodes
ypN2miIIIC2Regional lymph node metastasis ( 0.2 mm but 2.0 mm in diameter) to para-aortic lymph nodes, with or without positive pelvic lymph nodes
ypN2aIIIC2Regional lymph node metastasis ( 2.0 mm in diameter) to para-aortic lymph nodes, with or without positive pelvic lymph nodes

Suffix (f) is added to the N category when metastasis is identified only by FNA or core biopsy. Suffix (sn) is added to the N category when metastasis is identified only by sentinel lymph node biopsy.

M CategoryFIGO StageM Criteria
M0N/ANo distant metastasis
M1IVBDistant metastasis (includes metastasis to inguinal lymph nodes, intraperitoneal disease, lung, liver, or bone) (excludes metastasis to pelvic or para-aortic lymph nodes, or vagina)
M1IVBMicroscopic evidence of distant metastasis (includes metastasis to inguinal lymph nodes, intraperitoneal disease, lung, liver, or bone) (excludes metastasis to pelvic or para-aortic lymph nodes, or vagina)
cM CategoryFIGO StagecM Criteria
cM0N/ANo distant metastasis
cM1IVBDistant metastasis (includes metastasis to inguinal lymph nodes, intraperitoneal disease, lung, liver, or bone) (excludes metastasis to pelvic or para-aortic lymph nodes, or vagina)
pM1IVBMicroscopic evidence of distant metastasis (includes metastasis to inguinal lymph nodes, intraperitoneal disease, lung, liver, or bone) (excludes metastasis to pelvic or para-aortic lymph nodes, or vagina)
pM CategoryFIGO StagepM Criteria
cM0N/ANo distant metastasis
cM1IVBDistant metastasis (includes metastasis to inguinal lymph nodes, intraperitoneal disease, lung, liver, or bone) (excludes metastasis to pelvic or para-aortic lymph nodes, or vagina)
pM1IVBMicroscopic evidence of distant metastasis (includes metastasis to inguinal lymph nodes, intraperitoneal disease, lung, liver, or bone) (excludes metastasis to pelvic or para-aortic lymph nodes, or vagina)
ycM CategoryFIGO StageycM Criteria
cM0N/ANo distant metastasis
cM1IVBDistant metastasis (includes metastasis to inguinal lymph nodes, intraperitoneal disease, lung, liver, or bone) (excludes metastasis to pelvic or para-aortic lymph nodes, or vagina)
pM1IVBMicroscopic evidence of distant metastasis (includes metastasis to inguinal lymph nodes, intraperitoneal disease, lung, liver, or bone) (excludes metastasis to pelvic or para-aortic lymph nodes, or vagina)
ypM CategoryFIGO StageypM Criteria
cM0N/ANo distant metastasis
cM1IVBDistant metastasis(includes metastasis to inguinal lymph nodes, intraperitoneal disease, lung, liver, or bone(excludes metastasis to pelvic or para-aortic lymph nodes, or vagina)
pM1IVBMicroscopic evidence of distant metastasis (includes metastasis to inguinal lymph nodes, intraperitoneal disease, lung, liver, or bone) (excludes metastasis to pelvic or para-aortic lymph nodes, or vagina)