Staging

Question 1

STAGE IA

Answer 1

IA: Tumor limited to one ovary, capsule intact, no tumor on surface & negative washings

Question 2

STAGE IB

Answer 2

IB: Tumor involves both ovaries, otherwise like IA

Question 3

STAGE IC

Answer 3

IC –> Tumor limited to one or both ovaries
IC1: Surgical spill
IC2: Capsule rupture before surgery or tumor on surface
IC3: malignant cells in ascites or washings

Question 4

STAGE IIA

Answer 4

Extension and or implant on the uterus and or tubes

Question 5

STAGE IIB

Answer 5

Extension to other pelvic intraperitoneal tissues

Question 6

STAGE IIIA

Answer 6

Positive retroperitoneal nodes and/or microscopic mets beyond the pelvis

IIIA1: Positive retro nodes only
IIIA2: Microscopic, extra pelvic (above brim) peritoneal involvement +/- pos retro nodes

Question 7

STAGE IIIB

Answer 7

Macroscopic, extrapelvic, peritoneal mets <= 2cm +/- positive retro nodes. Includes extension to liver or spleen

Question 8

STAGE IIIC

Answer 8

Macroscopic, extrapelvic, peritoneal mets > 2cm +/- positive nodes. Includes extension to liver or spleen

Question 9

STAGE IVA

Answer 9

Pleural effusion w/pos cytology

Question 10

STAGE IVB

Answer 10

Hepatic and/or splenic parenchymal mets, mets to extra-abdominal orgains