Cervical Cancer Staging

Tx – cannot be assessed
T0 – no evidence of primary tumor
T1a – microscopically invasive
T1a1 – <3mm deep, 7mm wide
T1a2 – <5mm deep, 7mm wide
T1b – visible invasion
T1b1 – <4cm
T1b2 – >4cm
T2 – beyond uterus
T3 – pelvic wall OR lower 1/3 vagina
T4 – bladder/rectum

Measuring depth of invasion

Cervix Grossing

CONE BIOPSY
1. open at 12 o’clock (open like this:“O”?”U”)
2. pin on corkboard with mucosa up and fix
3. ink margins
4. cut parallel sections and submit from 12-3, 3-6,6-9 and 9-12 o’clock & mark on drawing
5. submit in toto

SYNOPTIC REPORT
CONE BIOPSY
Macroscopic tumor site (quadrant: either 12-3, 3-6, 6-9 or 9-12 o’clock)
Tumor size
Histologic tumor type (WHO)
Tumor grade
Depth of invasion (mm)
Width (horizontal extent) of tumor (mm)
Margins (endocervical, exocervical, deep) margin – involved by intraepithelial/invasive carcinoma (focal or diffuse) or __ mm from closest invasive carcinoma

HYSTERECTOMY
Specimen type
Other organs present
Macroscopic tumor site (quadrant: either 12-3, 3-6, 6-9 or 9-12 o’clock)
Tumor size
Histologic tumor type (WHO)
Tumor grade
Depth of invasion (mm)
pTNM / FIGO staging
Margins
Distal margin – involved or not involved by carcinoma in situ