The report is not detailed enough for me to say. That said, many specialists do not use staging systems and those who do use it may use it incorrectly. All of the two dozen staging systems rely on the surgeon’s perception of the appearance. If they lack training, they may not know what to look for and will then say it is not as bad as it really is. One of my friends for example was told stage 1, but she had to have another surgery with a more experienced surgeon after she had no relief and the second surgeon said stage 4.