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Gyn Onc > Staging > Flashcards

Staging Flashcards

1
Q

Stage 1A1 endometrial ca 2023

A

IA1 Non-aggressive histological type limited to an endometrial polyp OR confined to the endometrium

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2
Q

EC 2023 what stage is:
Non-aggressive histological type limited to an endometrial polyp OR confined to the endometrium

A

Stage 1A1

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3
Q

Endometrial Ca 2023 Stage IA2 is?

A

IA2 Non-aggressive histological types involving less than half of the myometrium with no or focal LVSI

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4
Q

Endometrial 2023
“Non-aggressive histological types involving less than half of the myometrium with no or focal LVSI” = stage?

A

IA1

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5
Q

What is Endometrial adenocarcinoma stage IA3 (2023)

A

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).
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6
Q

What stage is:
“Low-grade endometrioid carcinomas limited to the uterus and ovary.”

A

IA3

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7
Q

In stage IA3 Endometrial Cancer (2023) what criteria need to be met to be called synchronous primary?

A

(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)

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8
Q

Endometrial 2023 staging. What is the base for stage II?

A

Invasion of cervical stroma without extrauterine extension OR with substantial LVSI OR aggressive histological types with myometrial invasion

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9
Q

What is stage IIA in the 2023 Endometrial cancer staging?

A

IIA Invasion of the cervical stroma of non-aggressive histological types

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10
Q

Which stage in the 2023 Endometrial cancer staging is:
“Invasion of the cervical stroma of non-aggressive histological types”

A

Stage IIA

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11
Q

Which stage in the 2023 Endometrial cancer staging is:
Substantial LVSI of non-aggressive histological types

A

IIB Substantial LVSI of non-aggressive histological types

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12
Q

What is stage IIB in the endometrial Ca 2023 staging

A

Substantial LVSId of non-aggressive histological types

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13
Q

Which stage (in 2023 Endometrial Ca)
is an Aggressive histological type with any myometrial involvement

A

Stage IIC

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14
Q

What is Stage IIC in Endometrial Ca (2023)

A

IIC - Aggressive histological type with any myometrial involvement

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15
Q

What is Stage IIIA1 in Endometrial Ca (2023)

A

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)

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16
Q

What is stage IIIA2 in Endometrial Ca (2023)

A

IIIA Invasion of uterine serosa, adnexa, or both by direct extension or metastasis

IIIA2 Involvement of uterine subserosa or spread through the uterine serosa

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17
Q

In endometrial Ca which stage is:

Spread to ovary or fallopian tube (except when meeting stage IA3 criteria)

A

Stage IIIA1 (2023)

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18
Q

In endometrial Ca which stage is:

Involvement of uterine subserosa or spread through the uterine serosa

A

Stage IIIA2 (2023)

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19
Q

Which stage in endometrial Ca (2023) is Metastasis or direct spread to the vagina and/or the parametria

A

Stage IIIB1

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20
Q

What is stage IIIB1 in EAC 2023

A

IIIB1 Metastasis or direct spread to the vagina and/or the parametria

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21
Q

What is stage IIIB2 in EAC 2023

A

IIIB2 Metastasis to the pelvic peritoneum

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22
Q

What stage in endometrial Ca (2023) is
- Metastasis to the pelvic peritoneum

A

IIIB2

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23
Q

What stage in Endometrial Ca (2023) is:
Metastasis to the pelvic lymph nodes

A

IIIC1

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24
Q

What is stage IIIC1 in EAC 2023

A

Metastasis to the pelvic lymph nodes

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25
Q

What is stage IIIC1(i) in EAC 2023

A

Metastasis to the pelvic lymph nodes

IIIC1i Micrometastasis

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26
Q

Which stage in EC 2023 is Micrometastasis to pelvic lymph nodes

A

IIIC1 (i)

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27
Q

Which stage in EC 2023 is Macrometastasis to pelvic lymph nodes

A

IIIC1 (ii)

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28
Q

What is stage IIIC1 (ii) in EC 2023

A

Macrometastasis to pelvic lymph nodes

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29
Q

What is stage IIIC2 (i) in Endometrial Ca 2023

A

Metastasis to para-aortic lymph nodes up to the renal vessels, with or without metastasis to the pelvic lymph nodes

IIIC2i Micrometastasis

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30
Q

Which stage in EAC 2023 is
mIcrometastasis to PaLN +/- Pelvic LN

A

IIIC2 (i)

31
Q

Which stage in EAC 2023 is
mAcrometastasis to PaLN +/- Pelvic LN

A

IIIC2(ii)

32
Q

What is stage IIIC2(ii) in EAC 2023

A

mAcrometastasis to PaLN +/- Pelvic LN

33
Q

What is stage IVA - EAC 2023

A

Invasion of the bladder mucosa and/or the intestinal/bowel mucosa

34
Q

Which stage is Invasion of the bladder mucosa and/or the intestinal/bowel mucosa in EAC 2023 staging

A

IVA

35
Q

Which stage is Abdominal peritoneal metastasis beyond the pelvis in EAC 2023

A

IVB

36
Q

What is stage IV B EAC 2023

A

Abdominal peritoneal metastasis beyond the pelvis

37
Q

What is stage IV C EAC 2023

A

Distant metastasis, including metastasis to any extra- or intra-abdominal lymph nodes above the renal vessels, lungs, liver, brain, or bone marrow

38
Q

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

A

IV C

39
Q

What is stage IA in Vulva cancer 2021

A

IA—Tumor size ≤ 2 cm and stromal invasion ≤ 1 mm

40
Q

In vulva cancer 2021 what stage is:
Tumor size ≤ 2 cm and stromal invasion ≤ 1 mm

A

IA

41
Q

In vulva cancer 2021 what stage is: Tumor size > 2 cm or stromal invasion > 1 mm

A

IB—Tumor size > 2 cm or stromal invasion > 1 mm

42
Q

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

A

II

43
Q

In vulva cancer 2021 what stage is: Tumor size > 2 cm or stromal invasion > 1 mm

A

IB

44
Q

What is stage II in Vulva Ca 2021

A

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

45
Q

What is stage IIIA in vulva cancer in 2021

A

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

46
Q

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

A

IIIA

47
Q

Which stage in Vula 2021 is:
Regional LN metastases >5mm (Femoral and inguinal)

A

IIIB

48
Q

What is stage IIIB in Vulva ca 2021

A

Regional LN metastases >5mm (Femoral and inguinal)

49
Q

What is stage IIIC in vulva Ca in 2021

A

Regional LN metastases with extracapsular spread

50
Q

Which stage in vulva Ca 2021 is:
Regional LN metastases with extracapsular spread

A

IIIC

51
Q

What stage in Vulva Ca 2021 is Disease fixed to the pelvic bone or fixed or ulcerated regional ** lymph node metastases

A

IVA

52
Q

What is stage IVA in vulva Ca 2021

A

Disease fixed to the pelvic bone or fixed or ulcerated regional ** lymph node metastases

53
Q

What is stage IVB in vulva Ca 2021

A

Distant Metastases

54
Q

Ovarian Ca Stage IA?

A

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.

55
Q

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.

A

IA

56
Q

Ovarian Ca stage IB

A

Cancer is in both ovaries or both fallopian tubes but not found on the outer surfaces.

57
Q

Which stage Ovarian Ca is:
Cancer is in both ovaries or both fallopian tubes but not found on the outer surfaces.

A

IB

58
Q

What is stage IC1 in ovarian Ca:

A

Cancer is in one or both ovaries or fallopian tubes, and the tumor lining is disrupted during surgery

59
Q

WHich stage in Ov Ca is:
Cancer is in one or both ovaries or fallopian tubes, and the tumor lining is disrupted during surgery

A

IC1

60
Q

Which is stage IC2 in Ov Ca

A

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.

61
Q

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

A

IC2

62
Q

Which stage in Ov Ca is:
Cancer is in one or both ovaries or fallopian tubes with +ve cytology

A

IC3

63
Q

What is stage IC3 in Ov Ca?

A

Cancer is in one or both ovaries or fallopian tubes with +ve cytology

64
Q

What is stage II ovarian Cancer?

A

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

65
Q

What is stage IIB Ovarian Cancer?

A

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

66
Q

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

A

Stage IIB

67
Q

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

A

IIA

68
Q

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

A

IIIA1 (i)

69
Q

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

A

IIIA1 (ii)

70
Q

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

A
71
Q

What is stage IIIA1(i) ovarian cancer?

A

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

72
Q

What is stage IIIA1(ii) Ovarian cancer

A

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

73
Q
A

Gyn Onc (23 decks)

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