Cervical cancer histopathological confirmed is divided in stages. Cervical cancer staging represents the group assignment of situations that have the same severity, the same prognostic and similar treatment.

The IFGO (International Federation of Gynecology and Obstetrics) staging system is based more on clinical examination than intra-operator examination. This staging allows the use of the following diagnostic tests: a compelling clinical examination, which includes inspection, palpation, colposcopy, hysteroscopy, cystoscopy, proctoscopy, pulmonary radiography, skeleton radiography; colposcopic biopsy of the uterine tube; conization; histology (microscopically examination of the biopsy piece); optional tests, effectuated by case: echography, computer tomography, nuclear magnetic resonance, lymphangiography, laparoscopy, needle aspiration.

Cancer of the uterine tube (cervical cancer) is staged conforming to TNM (tumour, lymphatic nodules, metastasis) staging system, which is the same as IFGO staging system.

Stage I covers the diseases which are limited to the uterus (and have the best prognostic), stage II and III cover the tumours which are extended into the pelvis, outside the uterus and stage IV includes the cancers which invade the urinary bladder or the rectum and those which have metastasis at distance.

During the cervical cancer stage III the pains become more persistent and violent, the bleedings are intensified and anemia appears, too. In this case, the tumour takes possession of the whole vagina.

Cervical cancer stage III is divided into two categories: stage III-A and stage III-B. In the case of stage III-A the cervical cancer infests the third part of the inferior vagina, but it does not reach the tissues of the pelvis. If we are dealing with stage III-B of the cervical cancer we can speak about the malign cells which are diffused into the tissue of the pelvis and, sometimes, the cancerous formation gets as big as it can block the ducts which make the connection between urinary bladder and the kidneys. If the blocking happens, it can lead to the growing of the kidney or it may even lead to the interruption of kidney’s activity. It can also take place the fact that the malign cells infest the lymphatic nodules which are inside of the pelvis.

In the missing of a proper treatment the cervical cancer can be extended to vagina’s level and after that, can reach the tissues around the uterus. The lymphatic ganglia and the rest of pelvic organs are affected along the tumour’s progression. In the advanced stadium of the disease (along with the appearance of metastasis at distance) can appear the renal affection, the intestinal and pulmonary infection and the infestation of the liver.

A good treatment for cervical cancer stage III is chemotherapy (it can be administrated in the same time with radiotherapy and it is called chemo-radiotherapy). This method makes better the survival rate in stage III without provoking any major secondary effects.

For the cases which are surgical treated, the information obtained from the pathologist after the surgery can be used in establishing the separated pathological stages, which cannot replace the initial clinical staging (the one made before the surgery).