The American Joint Committee on Cancer (AJCC) tumor, node, metastasis (TNM) staging for all cancer sites has been periodically updated as a published manual for many years. The last update, the eighth edition AJCC Cancer Staging Manual went into use on January 1, 2018. The AJCC has since restructured and updated its processes, and all AJCC staging-related data are now housed on its new application programming interface. Consequently, the next AJCC TNM staging update, AJCC version 9 TNM staging, will be published electronically and will be released chapter by chapter. The first chapter of version 9 AJCC TNM staging is the updated cervical cancer staging, which is now published. This article highlights the changes to the AJCC TNM cervical cancer staging; these changes align with the International Federation of Gynecology and Obstetrics staging. The most important of the changes are: 1) the incorporation of imaging and surgical findings, 2) the elimination of lateral spread from T1a, 3) the addition of a subcategory to T1b (T1b3), and 4) histopathology is updated to reflect human papillomavirus-associated and human papillomavirus-independent carcinomas.

中文翻译：

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新的（第 9 版）美国癌症联合委员会对宫颈癌的肿瘤、淋巴结、转移分期

美国癌症联合委员会 (AJCC) 对所有癌症部位的肿瘤、淋巴结、转移 (TNM) 分期已作为出版手册定期更新多年。最后更新，第八版AJCC癌症分期手册于 2018 年 1 月 1 日投入使用。 AJCC 此后重组和更新了其流程，所有与 AJCC 登台相关的数据现在都存放在其新的应用程序编程接口中。因此，下一个 AJCC TNM 分期更新，AJCC 第 9 版 TNM 分期，将以电子方式发布，并将逐章发布。第 9 版 AJCC TNM 分期的第一章是更新的宫颈癌分期，现已出版。本文重点介绍了 AJCC TNM 宫颈癌分期的变化；这些变化与国际妇产科联合会的分期保持一致。最重要的变化是：1) 合并影像学和手术发现，2) 消除了 T1a 的横向扩散，3) 在 T1b (T1b3) 中增加了一个子类别，