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FRCR Part2 > Gynae Staging > Flashcards

Gynae Staging Flashcards

1
Q

CERVIX Stage IA

A

Microscopy only. Limited to cervix uteri.

IA1 stromal invasion <3mm in depth

IA2 stromal invasion ≥3mm and <5mm in depth

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2
Q

CERVIX Stage IB

A

Limited to cervix uteri.

IB1 ≥5mm stromal invasion and <2cm in greatest dimension

IB2 ≥2cm and <4cm in greatest dimension

IB3 ≥4cm in greatest dimension

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3
Q

CERVIX Stage II A

A

Limited to upper 2/3 of vagina without parametrial involvement. No extension to lower third of vagina or pelvic wall.

IIA1 <4cm in greatest dimension

IIA2 ≥4cm in greatest dimension

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4
Q

CERVIX Stage II B

A

No extension to lower third of vagina or pelvic wall.

Parametrial involvement

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5
Q

CERVIX Stage III A

A

Involves lower third of the vagina with no extension to the pelvic wall

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6
Q

CERVIX Stage III B

A

Extension to pelvic wall and/or hydronephrosis or non-functioning kidney (unless another cause)

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7
Q

CERVIX Stage III C

A

Involvement of pelvic and/or para-aortic lymph nodes

IIIC1 pelvic LN mets only

IIIC2 para-aortic lymph node mets

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8
Q

CERVIX Stage IV

A

Extended beyond true pelvis, or involves (bx proven) mucosa of bladder or rectum

IV A = adjacent pelvic organs

IV B = spread to distant organs

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9
Q

Endometrium Stage I

A

Confined to uterus

IA < 1/2 myometrium involvement

IB ≥1/2 myometrium involvement

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10
Q

Endometrium Stage II

A

Tumour invades cervical stroma but does not extend beyond uterus (endocervix consider Stage I not Stage II)

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11
Q

Endometrium Stage III

A

IIIA Invades serosa of corpus uteri and/or adnexae

IIIB Vaginal and/or parametrial involvement

IIIC Mets to pelvic and/or para-aortic lymph nodes
IIIC1 positive pelvic nodes
IIIC2 positive para-aortic lymph nodes with or without positive pelvic lymph nodes

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12
Q

Endometrial Stage IV

A

IVA Invades bladder and/or bowel mucosa

IVB Distant mets including intra-abdominal and/or inguinal lymph nodes

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13
Q

Ovarian Stage IA

A

Limited to 1 ovary, capsule intact, no tumour on surface, negative washings

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14
Q

Ovarian Stage IB

A

Involves both ovaries, capsule intact, no tumour on surface, negative washings

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15
Q

Ovarian Stage IC

A

Limited to one or both ovaries

ICI surgical spill

IC2 capsule rupture before surgery or tumour on ovarian surface

IC3 malignant cells in ascites or peritoneal washing

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16
Q

Ovarian Stage II A

A

Involves 1 or both ovaries with pelvic extension below pelvic brim or primary peritoneal ca.

Extension and/or implant on uterus and/or fallopian tubes

17
Q

Ovarian Stage II B

A

Involves 1 or both ovaries with pelvic extension below pelvic brim or primary peritoneal ca.

Extension to other pelvic intraperitoneal tissues

18
Q

Ovarian Stage III A

A

III A1 Positive retroperitoneal LN only
i) mets ≤ 10mm
II) mets > 10mm

III A2 Microscopic extrapelvic (above the brim) peritoneal involvement +/- retroperitoneal lymph nodes

19
Q

Ovarian Stage III B

A

Macroscopic, extra pelvic, peritoneal metastasis ≤2cm +/- positive retroperitoneal nodes. Includes extension to capsule of liver/ spleen

20
Q

Ovarian Stage III C

A

Macroscopic, extra pelvic, peritoneal metastasis >2cm +/- positive retroperitoneal lymph nodes. Includes extension to capsule of liver/ spleen

21
Q

Ovarian Stage IV A

A

Pleural Effusion with positive cytology

22
Q

Ovarian Stage IV B

A

Hepatic and/or splenic parenchymal mets

Mets to extra-abdominal organs, including inguinal lymph nodes and lymph nodes outside of the abdominal cavity.

23
Q

Vagina Stage I

A

Limited to wall of vagina

24
Q

Vagina Stage II

A

Involved sub-vaginal tissue, but not extended to pelvic wall

25
Q

Vagina Stage III

A

Carcinoma has extended to pelvic wall

26
Q

Vagina Stage IV A

A

Invades bladder and/or rectal mucosa and/ or direct extension beyond the true pelvis (bullous oedema does not count)

27
Q

Vagina Stage IV B

A

Spread to distant organs

28
Q

Vulva Stage IA

A

Confined to vulva or perineum
Lesions ≤ 2cm,
Stromal invasion ≤1mm

29
Q

Vulva Stage IB

A

Confined to vulva or perineum
Lesions > 2cm
Stromal invaion >1mm

30
Q

Vulva Stage II

A

Any size
Extension to perineal structures
1/3 lower urethra
1/3 lower vagina, anus

31
Q

Vulva Stage III A

A

i) 1 LN met ≥ 5mm

ii) 1-2 LN met < 5mm

32
Q

Vulva Stage III B

A

i) 2 or more LN mets ≥5mm

ii) 3 or more LN mets <5mm

33
Q

Vulva Stage III C

A

Positive nodes with ECS

34
Q

Vulva Stage IV A

A

i) Invades 2/3 upper urethra and/ or 2/3 upper vagina
Bladder mucosa
Rectal mucosa
Fixed to pelvic bone

or

ii) fixed or ulcerated inguino-femoral lymph nodes

35
Q

Vulva Stage IV B

A

Any distant mets including pelvic lymph nodes

FRCR Part2 (5 decks)

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