Ovarian cancer FIGO staging Flashcards
Ovarian cancer in both ovaries (or fallopian tubes), capsule intact with negative washings
IB
Ovarian cancer in one ovary (or fallopian tube) capsule intact with negative washings
IA
Ovarian cancer in one or both ovaries + rupture at surgery
IC1
Ovarian cancer in one or both ovaries + capsule rupture before surgery or capsule not intact
IC2
Ovarian cancer in one or both ovaries + positive washings
IC3
Ovarian cancer in one or both ovaries + cancer extension to uterus and or fallopian tubes
IIA
Ovarian cancer in one or both ovaries + extension into other intraperitoneal structures
IIB
Ovarian cancer + positive retroperitoneal lymph nodes
IIIA1
Ovarian cancer + retroperitoneal lymph node mets max diameter =/< 10mm
IIIA1 (i)
Ovarian cancer + retroperitoneal lymph node mets max diameter >/= 10mm
IIIIA1 (ii)
Ovarian cancer + microscopic, extrapelvic (above the brim) peritoneal involvement
IIIA2
Ovarian cancer + macroscopic metastasis =2cm (intraperitoneal in abdomen)
IIIB
Ovarian cancer + macroscopic metastasis >2cm (intraperitoneal in abdomen)
IIIC
Ovarian cancer + pleural effusion (positive cytology)
IVA
Ovarian cancer + parenchymal, extra-abdominal or inguinal lymph nodes
IVB
Ovarian cancer in one or both ovaries + cancer present on the surface of the ovary
IC2
Stage 1A ovarian or fallopian tube cancer
Ovarian cancer in one ovary (or fallopian tube) capsule intact with negative washings
Stage 1B ovarian or fallopian tube cancer
Ovarian cancer in both ovaries (or fallopian tubes), capsule intact with negative washings
Stage 1C1 ovarian or fallopian tube cancer
one or both ovaries + surgical spill
Stage 1C2 ovarian or fallopian tube cancer
One or both ovaries + rupture pre-surgery or capsule is not intact
Stage 1C3 ovarian or fallopian tube cancer
one or both ovaries + positive washings
T1 for ovarian cancer
Any stage 1 cancer
Stage 2A ovarian or fallopian tube cancer
Extension or implants of cancer in uterus/ovary/fallopian tube
Stage 2B ovarian or fallopian tube cancer
Extension or implants of cancer that are pelvic and intraperitoneal
T2 for ovarian cancer
Any stage 2 cancer
Stage 3A1 ovarian or fallopian tube cancer
Retroperitoneal lymph nodes
i = <10mm in diameter
ii = >10mm in diameter
Stage 3A2 ovarian or fallopian tube cancer
Microscopic abdominal intraperitoneal metastases
Stage 3B ovarian and fallopian tube cancer
Macroscopic abdominal intrapertioneal metastases largest diameter =/<2cm
Stage 3C ovarian and fallopian tube cancer
Macroscopic abdominal intraperitoneal metastases largest diameter >2cm
Stage 4A ovarian and fallopian tube cancer
pleural effusion + positive cystology
Stage 4b ovarian and fallopian tube cancer
parenchymal, extra-abdominal, inguinal lymph nodes
M1 ovarian cancer
Any stage 4 cancer
N1 ovarian cancer
Any stage 3 or 4 cancer can be N0 or N1
Breakdown stage 3 ovarian cancer
3A1/a2, B and C
3A = not visible to the human eye
3a1i retroperitoneal <10mm
3a1ii retroperitoneal >10mm
3a2 microscopic intraperitoneal abdominal
3b = visible to human eye = 2cm intraperitoneal abdominal
3c = visible to human eye >2cm intraperitoneal and abdominal
T3 of ovarian cancer
Stage 3A2 or higher