Ovarian Cancer Staging – Flashcards
Unlock all answers in this set
Unlock answersquestion
Tumor confined to ovaries of Fallopian tubes
answer
I
question
Tumor limited to one ovary (capsule intact) or Fallopian tube; no tumor on ovarian or Fallopian tube surface; no malignant cells in ascites or peritoneal washing
answer
Ia
question
Tumor limited to both ovaries (capsule intact) or Fallopian tube; no tumor on ovarian or Fallopian tube surface; no malignant cells in ascites or peritoneal washing
answer
Ib
question
Tumor limited to one or both ovaries or fallopian tubes, with any of the following:
answer
Ic
question
Surgical spill
answer
Ic1
question
Capsule ruptured before surgery or tumor on ovarian or fallopian tube surface
answer
Ic2
question
Malignant cells in the ascites or peritoneal washings
answer
Ic3
question
Tumor involves one or both ovaries or fallopian tubes with pelvic extension (below pelvic brim) or peritoneal cancer
answer
II
question
Extension and/or implants on uterus and/or tube(s) and/or ovaries
answer
IIa
question
Extension to other pelvic intraperitoneal tissues
answer
IIb
question
Tumor involves one or both ovaries or fallopian tubes, or peritoneal cancer, with cytologically or histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes
answer
III
question
Positive retroperitoneal lymph nodes and/or microscopic metastasis beyond pelvis
answer
IIIa
question
Metastasis up to 10 mm in greatest dimension
answer
IIIa1i
question
Metastasis more than 10 mm in greatest dimension
answer
IIIa1ii
question
Microscopic extrapelvic (above the pelvic brim) peritoneal involvement, with or without positive retroperitoneal lymph nodes
answer
IIIa2
question
Macroscopic peritoneal metastasis beyond pelvis up to 2 cm in greatest dimension, with or without positive retroperitoneal lymph nodes
answer
IIIB
question
Macroscopic peritoneal metastasis beyond pelvis more than 2 cm in greatest dimension (includes extension of tumor to capsule of liver and spleen without parenchymal involvement of either organ), with or without positive retroperitoneal lymph nodes
answer
IIIC
question
Distant metastasis (excludes peritoneal metastasis)
answer
IV
question
Pleural effusion with positive cytology
answer
IVa
question
Parenchymal metastases and metastases to extra-abdominal organs (including inguinal lymph nodes and lymph nodes outside the abdominal cavity)
answer
IVb
