In summary, FIGO stage IB1 is strongly diluted and it may be reasonable to stratify FIGO IB1 (less and more than 2 cm) and lymph node status in order to compare results in these women. Conclusion: Staging systems are intended to facilitate data collection and comparative reporting of end results. The current FIGO staging omits statistically significant variables. There is now a large literature suggesting that surgical-pathologic evaluation improves the accuracy of local staging of early-stage cervical cancer and increasing pressure to move toward a surgical-pathological staging for facilitating comparison between trials. Based on these observations, we suggest that the FIGO definition (1995) of early cervical cancer may be improved by adding more details, including lymph node status and tumor size (less and more than 2 cm), in future classification. © 2008 Expert Reviews Ltd.
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