FIGO_Staging_for_Ovarian_Cancer_2014 v.1
Stages cancer of the ovary, fallopian tube, and peritoneum.
Used to stage cancer of the ovary, fallopian tube, and peritoneum.
Use postoperatively in patients with histologically-proven ovarian cancer (surgical pathology is needed in order to stage). The stages are the following: Stage I: Tumor confined to ovaries -IA Tumor limited to 1 ovary, capsule intact, no tumor on surface, negative washings -IB Tumor involves both ovaries otherwise like IA -IC Tumor limited to 1 or both ovaries -IC1 Surgical spill -IC2 Capsule rupture before surgery or tumor on ovarian surface -IC3 Malignant cells in the ascites or peritoneal washings Stage II: Tumor involves 1 or both ovaries with pelvic extension (below the pelvic brim) or primary peritoneal cancer -IIA Extension and/or implant on uterus and/or fallopian tubes -IIB Extension to other pelvic intraperitoneal tissues Stage III: Tumor involves 1 or both ovaries with cytologically or histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes -IIIA Positive retroperitoneal lymph nodes and/or microscopic metastasis beyond the pelvis -IIIA1 Positive retroperitoneal lymph nodes only -IIIA1(i) Metastasis ≤10 mm -IIIA1(ii) Metastasis >10 mm -IIIA2 Microscopic, extrapelvic (above the brim) peritoneal involvement ± positive retroperitoneal lymph nodes -IIIB Macroscopic, extrapelvic, peritoneal metastasis ≤2 cm ± positive retroperitoneal lymph nodes; includes extension to capsule of liver/spleen -IIIC Macroscopic, extrapelvic, peritoneal metastasis >2 cm ± positive retroperitoneal lymph nodes; includes extension to capsule of liver/spleen Stage IV: Distant metastasis excluding peritoneal metastasis -IVA Pleural effusion with positive cytology -IVB Hepatic and/or splenic parenchymal metastasis, metastasis to extra-abdominal organs (including inguinal lymph nodes and lymph nodes outside of the abdominal cavity)
1. Prat J, FIGO Committee on Gynecologic Oncology. Staging classification for cancer of the ovary, fallopian tube, and peritoneum. International Journal of Gynecology & Obstetrics. 2014 Jan;124(1):1-5.
EVALUATION.figo_staging_for_ovarian_cancer_2014.v0
