Difference between revisions of "Ovarian cancer staging"

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==Staging==
 
==Staging==
  
* [[Ovarian cancer]] staging is by the International Federation of Gynecology and Obstetrics ([[FIGO]]) staging system and uses information obtained after surgery, which can include a total abdominal [[hysterectomy]], removal of (usually) both ovaries and fallopian tubes, (usually) the [[omentum]],  and pelvic (peritoneal) washings for [[cytology]].  The American Joint Committee on Cancer ([[AJCC]]) stage is the same as the [[FIGO]] stage.
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* [[Ovarian cancer]] staging is by the International Federation of Gynecology and Obstetrics ([[FIGO]]) staging system and uses information obtained after surgery, which can include a total abdominal [[hysterectomy]], removal of (usually) both ovaries and fallopian tubes, (usually) the [[momentum]],  and pelvic (peritoneal) washings for [[cytology]].  The American Joint Committee on Cancer ([[AJCC]]) stage is the same as the [[FIGO]] stage.
 
*The staging system is based on the surgical information about the tumor, lymph nodes, and metastasis.  
 
*The staging system is based on the surgical information about the tumor, lymph nodes, and metastasis.  
 
*The following should be considered when evaluating the tumor:
 
*The following should be considered when evaluating the tumor:

Latest revision as of 19:59, 12 July 2019


Ovarian cancer Microchapters

Home

Patient Information

Overview

Historical Perspective

Classifications

Pathophysiology

Causes of Ovarian cancer

Differentiating Ovarian cancer from other Diseases

Epidemiology & Demographics

Risk Factors

Screening

Natural History, Complications & Prognosis

Diagnosis

History & Symptoms

Physical Examination

Staging

Laboratory Findings

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Ovarian cancer staging On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Ovarian cancer staging

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Ovarian cancer staging

CDC on Ovarian cancer staging

Ovarian cancer staging in the news

Blogs on Ovarian cancer staging

Directions to Hospitals Treating Ovarian cancer

Risk calculators and risk factors for Ovarian cancer staging

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Huda A. Karman, M.D.

Ovarian cancer Microchapters

Home

Patient Information

Overview

Historical Perspective

Classifications

Pathophysiology

Causes of Ovarian cancer

Differentiating Ovarian cancer from other Diseases

Epidemiology & Demographics

Risk Factors

Screening

Natural History, Complications & Prognosis

Diagnosis

History & Symptoms

Physical Examination

Staging

Laboratory Findings

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Ovarian cancer staging On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Ovarian cancer staging

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Ovarian cancer staging

CDC on Ovarian cancer staging

Ovarian cancer staging in the news

Blogs on Ovarian cancer staging

Directions to Hospitals Treating Ovarian cancer

Risk calculators and risk factors for Ovarian cancer staging

Overview

Staging

  • Ovarian cancer staging is by the International Federation of Gynecology and Obstetrics (FIGO) staging system and uses information obtained after surgery, which can include a total abdominal hysterectomy, removal of (usually) both ovaries and fallopian tubes, (usually) the momentum, and pelvic (peritoneal) washings for cytology. The American Joint Committee on Cancer (AJCC) stage is the same as the FIGO stage.
  • The staging system is based on the surgical information about the tumor, lymph nodes, and metastasis.
  • The following should be considered when evaluating the tumor:
    • Is it primary or secondary
    • Involvement of both ovaries or ovarian tube
    • Involvement of ovarian surface and hence, expose peritoneum to the tumor cells
    • Rupture of the capsule
    • Presence of dense adhesions
  • The staging system is the same for ovarian cancer, fallopian tube cancer, and peritoneal carcinoma with large variations based on the histologic subtypes[1]
  • To achieve better outcome, the surgical staging procedure should be operated by gynecologist oncologist.
Stage Definition
I
IA
IB
IC
IC1
  • Surgical spill intraoperatively
IC2
IC3
II
IIA
IIB
III
IIIA
IIIA(i)
IIIA(ii)
IIIA2
IIIB
IIIC
IV
IVA
IVB


References

  1. Prat J, FIGO Committee on Gynecologic Oncology (2014). "Staging classification for cancer of the ovary, fallopian tube, and peritoneum". Int J Gynaecol Obstet. 124 (1): 1–5. doi:10.1016/j.ijgo.2013.10.001. PMID 24219974.

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