Ovarian cancer (staging)
Updates to Article Attributes
Body
was changed:
The most commonly adopted staging staging system for ovarian cancer is the FIGO staging system.
It is as follows:
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Stagestage I: tumour limited to the ovaries.-
Stagestage IA: tumour limited to one ovary; capsule intact, no tumour on ovarian surface; no malignant cells in ascites or peritoneal washings. -
Stagestage IB: tumour limited to both ovaries; capsules intact, no tumour on ovarian surface; no malignant cells in ascites or peritoneal washings. -
Stagestage IC: tumor limited to one or both ovaries , with any of the following:-
Stagestage IC1: surgical spill. -
Stagestage IC2: capsule ruptured before surgery, or tumour on ovarian or fallopian tube surface. -
Stagestage IC3: malignant cells in the ascites or peritoneal washings.
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Stagestage II: tumour involves one or both ovaries with pelvic extension (below pelvic brim).-
Stagestage IIA: extension or implants on the uterus or fallopian tubes, no malignant ascites/negative peritoneal washings. -
Stagestage IIB: extension to other pelvic intraperitoneal tissues.
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Stagestage III: tumour involves one or both ovaries with cytologically or histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes.-
Stagestage IIIA: positive retroperitoneal lymph nodes and /or microscopic metastasis beyond the pelvis:-
Stagestage IIIA1: positive (cytologically or histologically proven) retroperitoneal lymph nodes only-
Stagestage IIIA1(i): metastasis up to 10 mm in greatest dimension. -
Stagestage IIIA1(ii):metastasis more than 10 mm in greatest dimension.
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Stagestage IIIA2:microscopic extrapelvic (above the pelvic brim) peritoneal involvement with or without positive retroperitoneal lymph nodes
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Stagestage IIIB: involves macroscopic peritoneal metastasis beyond the pelvis up to 2 cm in greatest dimension, with or without metastasis to the retroperitoneal lymph nodes. -
Stagestage IIIC: involves macroscopic peritoneal metastasis beyond the pelvis more than 2 cm in greatest dimension, with or without metastasis to the retroperitoneal lymph nodes. Stage IIIC- includes extension of tumor to the capsule of liver and spleen without parenchymal involvement of either organ
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- includes extension of tumor to the capsule of liver and spleen without parenchymal involvement of either organ
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Stagestage IV: consists of distant metastasis, excluding peritoneal metastases, and includes the following:-
Stagestage IVA: pleural effusion with positive cytology. -
Stagestage IVB:parenchymal metastases and metastases to extra-abdominal organs (including inguinal lymph nodes and lymph nodes outside of the abdominal cavity).
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See also
-<strong>Stage I: </strong> tumour limited to the ovaries.<ul>- +<strong>stage I: </strong> tumour limited to the ovaries<ul>
-<strong>Stage IA: </strong>tumour limited to one ovary; capsule intact, no tumour on ovarian surface; no malignant cells in ascites or peritoneal washings.</li>- +<strong>stage IA: </strong>tumour limited to one ovary; capsule intact, no tumour on ovarian surface; no malignant cells in ascites or peritoneal washings</li>
-<strong>Stage IB: </strong>tumour limited to both ovaries; capsules intact, no tumour on ovarian surface; no malignant cells in ascites or peritoneal washings.</li>- +<strong>stage IB: </strong>tumour limited to both ovaries; capsules intact, no tumour on ovarian surface; no malignant cells in ascites or peritoneal washings</li>
-<strong>Stage IC: </strong>tumor limited to one or both ovaries , with any of the following: <ul>- +<strong>stage IC: </strong>tumor limited to one or both ovaries , with any of the following: <ul>
-<strong>Stage IC1: </strong>surgical spill.</li>- +<strong>stage IC1: </strong>surgical spill</li>
-<strong>Stage IC2: </strong>capsule ruptured before surgery, or tumour on ovarian or fallopian tube surface.</li>- +<strong>stage IC2: </strong>capsule ruptured before surgery, or tumour on ovarian or fallopian tube surface</li>
-<strong>Stage IC3: </strong>malignant cells in the ascites or peritoneal washings.</li>- +<strong>stage IC3: </strong>malignant cells in the ascites or peritoneal washings</li>
-<strong>Stage II: </strong> tumour involves one or both ovaries with pelvic extension (below pelvic brim).<ul>- +<strong>stage II: </strong>tumour involves one or both ovaries with pelvic extension (below pelvic brim)<ul>
-<strong>Stage IIA: </strong>extension or implants on the uterus or fallopian tubes, no malignant ascites/negative peritoneal washings.</li>- +<strong>stage IIA: </strong>extension or implants on the uterus or fallopian tubes, no malignant ascites/negative peritoneal washings</li>
-<strong>Stage IIB: </strong>extension to other pelvic intraperitoneal tissues.</li>- +<strong>stage IIB: </strong>extension to other pelvic intraperitoneal tissues</li>
-<strong>Stage III: </strong> tumour involves one or both ovaries with cytologically or histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes.<ul>- +<strong>stage III: </strong>tumour involves one or both ovaries with cytologically or histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes<ul>
-<strong>Stage IIIA: </strong>positive retroperitoneal lymph nodes and /or microscopic metastasis beyond the pelvis:<ul>- +<strong>stage IIIA: </strong>positive retroperitoneal lymph nodes and /or microscopic metastasis beyond the pelvis:<ul>
-<strong>Stage IIIA1: </strong>positive (cytologically or histologically proven) retroperitoneal lymph nodes only<ul>- +<strong>stage IIIA1: </strong>positive (cytologically or histologically proven) retroperitoneal lymph nodes only<ul>
-<strong>Stage IIIA1(i) : </strong>metastasis up to 10 mm in greatest dimension.</li>- +<strong>stage IIIA1(i): </strong>metastasis up to 10 mm in greatest dimension</li>
-<strong>Stage IIIA1(ii) :</strong>metastasis more than 10 mm in greatest dimension.</li>- +<strong>stage IIIA1(ii): </strong>metastasis more than 10 mm in greatest dimension</li>
-<strong>Stage IIIA2 :</strong>microscopic extrapelvic (above the pelvic brim) peritoneal involvement with or without positive retroperitoneal lymph nodes</li>- +<strong>stage IIIA2: </strong>microscopic extrapelvic (above the pelvic brim) peritoneal involvement with or without positive retroperitoneal lymph nodes</li>
-<strong>Stage IIIB: </strong>involves macroscopic peritoneal metastasis beyond the pelvis up to 2 cm in greatest dimension, with or without metastasis to the retroperitoneal lymph nodes.</li>- +<strong>stage IIIB: </strong>involves macroscopic peritoneal metastasis beyond the pelvis up to 2 cm in greatest dimension, with or without metastasis to the retroperitoneal lymph nodes</li>
-<strong>Stage IIIC:</strong> involves macroscopic peritoneal metastasis beyond the pelvis more than 2 cm in greatest dimension, with or without metastasis to the retroperitoneal lymph nodes. Stage IIIC includes extension of tumor to the capsule of liver and spleen without parenchymal involvement of either organ.</li>- +<strong>stage IIIC:</strong> involves macroscopic peritoneal metastasis beyond the pelvis more than 2 cm in greatest dimension, with or without metastasis to the retroperitoneal lymph nodes<ul><li>includes extension of tumor to the capsule of liver and spleen without parenchymal involvement of either organ</li></ul>
- +</li>
-<strong>Stage IV: </strong>consists of distant metastasis, excluding peritoneal metastases, and includes the following:<ul>- +<strong>stage IV: </strong>consists of distant metastasis, excluding peritoneal metastases, and includes the following:<ul>
-<strong>Stage IVA: </strong>pleural effusion with positive cytology.</li>- +<strong>stage IVA: </strong>pleural effusion with positive cytology</li>
-<strong>Stage IVB :</strong>parenchymal metastases and metastases to extra-abdominal organs (including inguinal lymph nodes and lymph nodes outside of the abdominal cavity). </li>- +<strong>stage IVB: </strong>parenchymal metastases and metastases to extra-abdominal organs (including inguinal lymph nodes and lymph nodes outside of the abdominal cavity). </li>