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Vagina

Primary Tumor (T)
T Category Stage Category Definitions
TX Primary tumor cannot be assessed
T0 No evidence of primary tumor
Tis Carcinoma in situ
T1 Tumor confined to vagina
T2 Tumor invades paravaginal tissues but not to pelvic wall
T3 Tumor extends to pelvic wall**
T4 Tumor invades mucosa of the bladder or rectum and/or extends beyond the true pelvis (bullous edema is not sufficient evidence to classify a tumor as T4)
*FIGO staging no longer includes Stage 0 (Tis).
**Pelvic wall is defined as muscle, fascia, neurovascular structures, or skeletal portions of the bony pelvis.

Regional Lymph Nodes (N)
N Category Stage Category Definitions
NX Regional lymph nodes cannot be assessed
N0 No regional lymph node metastasis
N1 Pelvic or inguinal lymph node metastasis

Distant Metastasis (M)
M Category Stage Category Definitions
M1 Distant metastasis
No distant metastasis (no pathologic M0; use clinical M to complete stage group)
Anatomic Stage/Prognostic Groups
Stage T N M
0 Tis N0 M0
I T1 N0 M0
II T2 N0 M0
III T1-T3 N1 M0
III T3 N0 M0
IVA T4 Any N M0
IVB Any T Any N M1
*FIGO no longer includes Stage 0 (Tis).