Pathologic Staging (pTNM)
CAP Approved Gynecologic • Uterine Cervix 4.0.0.0
TNM Descriptors (required only if applicable) (select all that apply)
___ m (multiple primary tumors)
___ r (recurrent)
___ y (posttreatment)
Primary Tumor (pT)
___ pTX: Primary tumor cannot be assessed
___ pT0: No evidence of primary tumor
___ pT1: Cervical carcinoma confined to uterus (extension to corpus should be disregarded)
___ pT1a: Invasive carcinoma diagnosed by microscopy only. Stromal invasion with a maximum depth of 5.0 mm measured from the base of the epithelium and a horizontal spread of 7.0 mm or less. Vascular space involvement, venous or lymphatic, does not affect classification.
___ pT1a1: Measured stromal invasion of 3.0 mm or less in depth and 7.0 mm or less in horizontal spread
___ pT1a2: Measured stromal invasion of more than 3.0 mm and not more than 5.0 mm, with a horizontal spread of 7.0 mm or less
___ pT1b: Clinically visible lesion confined to the cervix or microscopic lesion greater than T1a2/IA2. Includes all macroscopically visible lesions, even those with superficial invasion.
___ pT1b1: Clinically visible lesion 4.0 cm or less in greatest dimension
___ pT1b2: Clinically visible lesion more than 4.0 cm in greatest dimension
___ pT2: Cervical carcinoma invading beyond the uterus but not to the pelvic wall or to lower third of the vagina
___ pT2a: Tumor without parametrial invasion
___ pT2a1: Clinically visible lesion 4.0 cm or less in greatest dimension
___ pT2a2: Clinically visible lesion more than 4.0 cm in greatest dimension
___ pT2b: Tumor with parametrial invasion
___ pT3: Tumor extending to the pelvic sidewall# and/or involving the lower third of the vagina and/or causing hydronephrosis or nonfunctioning kidney
___ pT3a: Tumor involving the lower third of the vagina but not extending to the pelvic wall
___ pT3b: Tumor extending to the pelvic wall and/or causing hydronephrosis or nonfunctioning kidney
___ pT4: Tumor invading the mucosa of the bladder or rectum and/or extending beyond the true pelvis (bullous edema is not sufficient to classify a tumor as T4)
# The pelvic sidewall is defined as the muscle, fascia, neurovascular structures, and skeletal portions of the bony pelvis. On rectal examination, there is no cancer-free space between the tumor and pelvic sidewall.
Regional Lymph Nodes (pN)
___ pNX: Cannot be assessed
___ pN0: No regional lymph node metastasis
___ pN0(i+): Isolated tumor cells in regional lymph node(s) no greater than 0.2 mm
___ pN1: Regional lymph node metastasis
Distant Metastasis (pM) (required only if confirmed pathologically in this case)
___ pM1: Distant metastasis (including peritoneal spread or involvement of the supraclavicular, mediastinal, or distant lymph nodes; lung; liver; or bone)
Specify site(s), if known: _________________________
Uterine Cervix CAP 4.0.0.0 summary of pTNM changes AJCC 7th to 8th edition