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Sponsor & History:
- Federation Internationale de Gynecolgie et d'Obstetrique
(in French) International Federation of Gynecology and Obstetrics
(in English)
- First published in 1929 (cervix); adapted to the TNM format
and incorporated into AJCC staging.
Restrictions:
FIGO Staging is based on clinical staging, careful clinical
examination before any definitive therapy has begun. Exception:
ovary, which includes surgical exploration.
Categories:
| Stage 0 |
In situ carcinoma |
| Stage I |
Similar to localized: confined
to organ of origin |
| Stage II - Stage IV |
Extension beyond organ of origin
into areas of the pelvis and beyond (regional and distant
stages) |
Site-specific guidelines:
CERVIX:
Use "OCC" (occult) to indicate invasive (Stage IB) carcinoma
not detected clinically but found on biopsy, conization,
amputated portion or resected uterus.
ENDOMETRIUM: (CORPUS UTERI)
FIGO subcategorizes Stage IB endometrial cancer by the grade
of tumor, but AJCC does not.
Endocervical extension can only be established by fractional
curettage or scraping of the cervix submitted as a separate
specimen at D and C.
OVARY:
FIGO clinical classification of ovary includes gross and
microscopic findings during and after operative procedure
as well as cytologies.
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