Staging Flashcards
Stage 1A1 endometrial ca 2023
IA1 Non-aggressive histological type limited to an endometrial polyp OR confined to the endometrium
EC 2023 what stage is:
Non-aggressive histological type limited to an endometrial polyp OR confined to the endometrium
Stage 1A1
Endometrial Ca 2023 Stage IA2 is?
IA2 Non-aggressive histological types involving less than half of the myometrium with no or focal LVSI
Endometrial 2023
“Non-aggressive histological types involving less than half of the myometrium with no or focal LVSI” = stage?
IA1
What is Endometrial adenocarcinoma stage IA3 (2023)
IA3 Low-grade endometrioid carcinomas limited to the uterus and ovary.
- Low-grade EECs involving both the endometrium and the ovary are considered to have a good prognosis, and no adjuvant treatment is recommended if all the below criteria are met. Disease limited to low-grade endometrioid carcinomas involving the endometrium and ovaries (Stage IA3) must be distinguished from extensive spread of the endometrial carcinoma to the ovary (Stage IIIA1), by the following criteria: (1) no more than superficial myometrial invasion is present (<50%); (2) absence of extensive/substantial LVSI; (3) absence of additional metastases; and (4) the ovarian tumor is unilateral, limited to the ovary, without capsule invasion/rupture (equivalent to pT1a).
What stage is:
“Low-grade endometrioid carcinomas limited to the uterus and ovary.”
IA3
In stage IA3 Endometrial Cancer (2023) what criteria need to be met to be called synchronous primary?
(1) no more than superficial myometrial invasion is present (<50%);
(2) absence of extensive/substantial LVSI; (3) absence of additional metastases; and
(4) the ovarian tumor is unilateral, limited to the ovary, without capsule invasion/rupture (equivalent to pT1a)
Endometrial 2023 staging. What is the base for stage II?
Invasion of cervical stroma without extrauterine extension OR with substantial LVSI OR aggressive histological types with myometrial invasion
What is stage IIA in the 2023 Endometrial cancer staging?
IIA Invasion of the cervical stroma of non-aggressive histological types
Which stage in the 2023 Endometrial cancer staging is:
“Invasion of the cervical stroma of non-aggressive histological types”
Stage IIA
Which stage in the 2023 Endometrial cancer staging is:
Substantial LVSI of non-aggressive histological types
IIB Substantial LVSI of non-aggressive histological types
What is stage IIB in the endometrial Ca 2023 staging
Substantial LVSId of non-aggressive histological types
Which stage (in 2023 Endometrial Ca)
is an Aggressive histological type with any myometrial involvement
Stage IIC
What is Stage IIC in Endometrial Ca (2023)
IIC - Aggressive histological type with any myometrial involvement
What is Stage IIIA1 in Endometrial Ca (2023)
IIIA Invasion of uterine serosa, adnexa, or both by direct extension or metastasis
IIIA 1 - IIIA1 Spread to ovary or fallopian tube (except when meeting stage IA3 criteria)
What is stage IIIA2 in Endometrial Ca (2023)
IIIA Invasion of uterine serosa, adnexa, or both by direct extension or metastasis
IIIA2 Involvement of uterine subserosa or spread through the uterine serosa
In endometrial Ca which stage is:
Spread to ovary or fallopian tube (except when meeting stage IA3 criteria)
Stage IIIA1 (2023)
In endometrial Ca which stage is:
Involvement of uterine subserosa or spread through the uterine serosa
Stage IIIA2 (2023)
Which stage in endometrial Ca (2023) is Metastasis or direct spread to the vagina and/or the parametria
Stage IIIB1
What is stage IIIB1 in EAC 2023
IIIB1 Metastasis or direct spread to the vagina and/or the parametria
What is stage IIIB2 in EAC 2023
IIIB2 Metastasis to the pelvic peritoneum
What stage in endometrial Ca (2023) is
- Metastasis to the pelvic peritoneum
IIIB2
What stage in Endometrial Ca (2023) is:
Metastasis to the pelvic lymph nodes
IIIC1
What is stage IIIC1 in EAC 2023
Metastasis to the pelvic lymph nodes
What is stage IIIC1(i) in EAC 2023
Metastasis to the pelvic lymph nodes
IIIC1i Micrometastasis
Which stage in EC 2023 is Micrometastasis to pelvic lymph nodes
IIIC1 (i)
Which stage in EC 2023 is Macrometastasis to pelvic lymph nodes
IIIC1 (ii)
What is stage IIIC1 (ii) in EC 2023
Macrometastasis to pelvic lymph nodes
What is stage IIIC2 (i) in Endometrial Ca 2023
Metastasis to para-aortic lymph nodes up to the renal vessels, with or without metastasis to the pelvic lymph nodes
IIIC2i Micrometastasis
Which stage in EAC 2023 is
mIcrometastasis to PaLN +/- Pelvic LN
IIIC2 (i)
Which stage in EAC 2023 is
mAcrometastasis to PaLN +/- Pelvic LN
IIIC2(ii)
What is stage IIIC2(ii) in EAC 2023
mAcrometastasis to PaLN +/- Pelvic LN
What is stage IVA - EAC 2023
Invasion of the bladder mucosa and/or the intestinal/bowel mucosa
Which stage is Invasion of the bladder mucosa and/or the intestinal/bowel mucosa in EAC 2023 staging
IVA
Which stage is Abdominal peritoneal metastasis beyond the pelvis in EAC 2023
IVB
What is stage IV B EAC 2023
Abdominal peritoneal metastasis beyond the pelvis
What is stage IV C EAC 2023
Distant metastasis, including metastasis to any extra- or intra-abdominal lymph nodes above the renal vessels, lungs, liver, brain, or bone marrow
What stage in EAC 2023 is:
Distant metastasis, including metastasis to any extra- or intra-abdominal lymph nodes above the renal vessels, lungs, liver, brain, or bone
IV C
What is stage IA in Vulva cancer 2021
IA—Tumor size ≤ 2 cm and stromal invasion ≤ 1 mm
In vulva cancer 2021 what stage is:
Tumor size ≤ 2 cm and stromal invasion ≤ 1 mm
IA
In vulva cancer 2021 what stage is: Tumor size > 2 cm or stromal invasion > 1 mm
IB—Tumor size > 2 cm or stromal invasion > 1 mm
In vulva cancer 2021 what stage is: Tumor of any size with extension to lower one-third of the urethra, lower one-third of the vagina, lower one-third of the anus with negative nodes
II
In vulva cancer 2021 what stage is: Tumor size > 2 cm or stromal invasion > 1 mm
IB
What is stage II in Vulva Ca 2021
Tumor of any size with extension to lower one-third of the urethra, lower one-third of the vagina, lower one-third of the anus with negative nodes
What is stage IIIA in vulva cancer in 2021
IIIA—Tumor of any size with disease extension to upper two-thirds of the urethra, upper two-thirds of the vagina, bladder mucosa, rectal mucosa, or regional lymph node metastases ≤ 5 mm
Which stage in vulva 2021 is:
Tumor of any size with disease extension to upper two-thirds of the urethra, upper two-thirds of the vagina, bladder mucosa, rectal mucosa, or regional lymph node metastases ≤ 5 mm
IIIA
Which stage in Vula 2021 is:
Regional LN metastases >5mm (Femoral and inguinal)
IIIB
What is stage IIIB in Vulva ca 2021
Regional LN metastases >5mm (Femoral and inguinal)
What is stage IIIC in vulva Ca in 2021
Regional LN metastases with extracapsular spread
Which stage in vulva Ca 2021 is:
Regional LN metastases with extracapsular spread
IIIC
What stage in Vulva Ca 2021 is Disease fixed to the pelvic bone or fixed or ulcerated regional ** lymph node metastases
IVA
What is stage IVA in vulva Ca 2021
Disease fixed to the pelvic bone or fixed or ulcerated regional ** lymph node metastases
What is stage IVB in vulva Ca 2021
Distant Metastases
Ovarian Ca Stage IA?
Cancer is in only one ovary and is confined within the ovary, or cancer is in only one fallopian tube and is confined within the fallopian tube.
What is stage in Ov Ca:
Cancer is in only one ovary and is confined within the ovary, or cancer is in only one fallopian tube and is confined within the fallopian tube.
IA
Ovarian Ca stage IB
Cancer is in both ovaries or both fallopian tubes but not found on the outer surfaces.
Which stage Ovarian Ca is:
Cancer is in both ovaries or both fallopian tubes but not found on the outer surfaces.
IB
What is stage IC1 in ovarian Ca:
Cancer is in one or both ovaries or fallopian tubes, and the tumor lining is disrupted during surgery
WHich stage in Ov Ca is:
Cancer is in one or both ovaries or fallopian tubes, and the tumor lining is disrupted during surgery
IC1
Which is stage IC2 in Ov Ca
Cancer is in one or both ovaries or fallopian tubes, and cancer is found on the outer surface of ovary or fallopian tube or preoperative rupture.
Which stage in Ovarian Ca is:
Cancer is in one or both ovaries or fallopian tubes, and cancer is found on the outer surface of ovary or fallopian tube or pre-operative rupture
IC2
Which stage in Ov Ca is:
Cancer is in one or both ovaries or fallopian tubes with +ve cytology
IC3
What is stage IC3 in Ov Ca?
Cancer is in one or both ovaries or fallopian tubes with +ve cytology
What is stage II ovarian Cancer?
Stage II: Tumor involves 1 or both ovaries or fallopian tubes with pelvic extension (below pelvic brim) or peritoneal cancer
IIA - Extension and/or implants on uterus and/or fallopian tubes and/or ovaries
What is stage IIB Ovarian Cancer?
Stage II: Tumor involves 1 or both ovaries or fallopian tubes with pelvic extension (below pelvic brim) or peritoneal cancer
IIB: Extension to other pelvic intraperitoneal tissues
What stage is this ovarian Ca?
Tumor involves 1 or both ovaries or fallopian tubes with pelvic extension (below pelvic brim) or peritoneal cancer with
Extension to other pelvic intraperitoneal tissues
Stage IIB
What stage is this ovarian Ca:
Tumor involves 1 or both ovaries or fallopian tubes with pelvic extension (below pelvic brim) or peritoneal cancer
Extension and/or implants on uterus and/or fallopian tubes and/or ovaries
IIA
What stage is this ovarian Ca?
Tumor has histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes
Positive retroperitoneal lymph nodes only (cytologically or histologically proven):
WIth - Metastasis up to 10 mm in greatest dimension
IIIA1 (i)
What stage ovarian Ca is?
Tumor has histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes
Positive retroperitoneal lymph nodes only (cytologically or histologically proven):
WIth - Metastasis > 10 mm in greatest dimension
IIIA1 (ii)
Tumor involves 1 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
What is stage IIIA1(i) ovarian cancer?
Tumor has histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes
Positive retroperitoneal lymph nodes only (cytologically or histologically proven):
WIth - Metastasis up to 10 mm in greatest dimension
What is stage IIIA1(ii) Ovarian cancer
Tumor has histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes
Positive retroperitoneal lymph nodes only (cytologically or histologically proven):
WIth - Metastasis > 10 mm in greatest dimension