Table 2

TNM and FIGO (2019) classification of cancer of the vagina71–73

FIGO 2018	AJCC		IUCC	Description
FIGO 2018	eighth edition		eighth edition
Stage	Stage	Grouping	Stage
0			Tis	Carcinoma in situ
			N0
			M0
I	IA	T1a	T1	The cancer is only in the vagina and is no larger than 2 cm (4/5 inch) (T1a).
		N0	N0	It has not spread to nearby lymph nodes (N0) or to distant sites (M0)
		M0	M0
	IB	T1b		The cancer is only in the vagina and is larger than 2.0 cm (4/5 inch) (T1b).
		N0		It has not spread to nearby lymph nodes (N0) or to distant sites (M0)
		M0
II	IIA	T2a	T2	The cancer has grown through the vaginal wall, but not as far as the pelvic wall and is no larger than 2.0 cm (4/5 inch) (T2a).
		N0	N0	It has not spread to nearby lymph nodes (N0) or to distant sites (M0)
		M0	M0
	IIB	T2b		The cancer has grown through the vaginal wall, but not as far as the pelvic wall and is larger than 2.0 cm (4/5 inch) (T2b).
		N0		It has not spread to nearby lymph nodes (N0) or to distant sites (M0)
		M0
III	III	T3	T3	The cancer is growing into the pelvic wall and/or has blocked the flow of urine (hydronephrosis) which is causing the kidneys to not work. (T3)
		N0	N0
		M0	M0	OR
		OR	OR	The cancer can be any size and might be growing into the pelvic wall and/or has blocked the flow of urine (hydronephrosis) which is causing the kidneys to not work. (T1 to T3). AND It has also spread to nearby lymph nodes in the pelvis or groin (inguinal) area (N1) but not distant sites (M0)
		T1 to T3	T1 to T3
		N1	N1
		M0	M0
IVA	IVA	T4	IVA	The cancer is growing into the bladder or rectum or is growing out of the pelvis (T4)
		Any N		It might or might not have spread to lymph nodes in the pelvis or groin (inguinal area) (Any N). It has not spread todistant sites (M0)
		M0
IVB	IVB	Any T	IVB	The cancer has spread to distant organs such as the lungs, liver, or bones. (M1). It can be any size and might or might not have grown into nearby structures or organs (Any T).
		Any N		It might or might not have spread to nearby lymph nodes (Any N).
		M1