Diagnosis

Diagnosis
• PV and Pap smear
• Cervical Biopsy
• Colposcopy
 Staging
• I = The carcinoma is strictly confined to the cervix
• II = Cervical carcinoma invades beyond the uterus but
not to the pelvic wall or to the lower third of the vagina
• III = The tumor extends to the pelvic wall and/or
involves lower third of the vagina and/or causes
hydronephrosis or nonfunctioning kidney.c
• IV = The carcinoma has extended beyond the true
pelvis or has involved (biopsy proven) the mucosa of
the bladder or rectum. A bullous edema, as such, does
not permit a case to be allotted to stage IV.
 Stage I
Invasive carcinoma, which can be
diagnosed only by microscopy with
IA
deepest invasion ≤5 mm and largest
extension ≥7 mm.
Measured stromal invasion of ≤3.0
IA1 mm in depth and extension of ≤7.0
mm.
Measured stromal invasion of >3.0
IA2 mm and not >5.0 mm with an
extension of not >7.0 mm.
Clinically visible lesions limited to the
IB cervix uteri or preclinical cancers
greater than stage IA.b
Clinically visible lesion ≤4.0 cm in
IB1
greatest dimension.
Clinically visible lesion >4.0 cm in
IB2
greatest dimension.
 Stage II

Without parametrial
IIA
invasion.
Clinically visible lesion ≤4.0
IIA1
cm in greatest dimension.
Clinically visible lesion >4.0
IIA2
cm in greatest dimension.
With obvious parametrial
IIB
invasion.
 Stage III

Tumor involves lower third

of the vagina with no
IIIA
extension to the pelvic
wall.
Extension to the pelvic wall
IIIB and/or hydronephrosis or
nonfunctioning kidney.
 Stage IV

Spread of the growth to

IVA
adjacent organs.
IVB Spread to distant organs.
 Advance stage of Cervical cancer
• chest x-ray, intravenous pyelogram (IVP),
barium enema, and skeletal x-ray (not a bone
scan)
่ ยว่ามะเร็งลุกลามไปทีกระเพาะปั
ในรายทีสงสั ่ สสาวะ หรือ
ลาไส ้ใหญ่สว่ นปลาย ให ้ตรวจด ้วย cystoscopy หรือ
proctoscopy และถ ้าพบบริเวณทีสงสั ่ ยการลุกลามให ้
้ อส่
ตัดชินเนื ้ งตรวจ(Fine needle biopsy)
+-CT Scan