Carcinoma Ovary

• 
  
  Stage I – limited to one or both ovaries
  
  
  
  
  
  • IA – involves one ovary; capsule intact; no tumor on ovarian surface; no malignant cells in ascites or peritoneal washings
    
  
  
  • IB – involves both ovaries; capsule intact; no tumor on ovarian surface; negative washings
    
  
  
  • IC – tumor limited to ovaries with any of the following: capsule ruptured, tumor on ovarian surface, positive washings
    
  
  
  
  


• 
  
  Stage II – pelvic extension or implants
  
  
  
  
  
  • IIA – extension or implants onto uterus or fallopian tube; negative washings
    
  
  
  • IIB – extension or implants onto other pelvic structures; negative washings
    
  
  
  • IIC – pelvic extension or implants with positive peritoneal washings
    
  
  
  
  


• 
  
  Stage III – microscopic peritoneal implants outside of the pelvis; or limited to the pelvis with extension to the small bowel or omentum
  
  
  
  
  
  • IIIA – microscopic peritoneal metastases beyond pelvis
    
  
  
  • IIIB – macroscopic peritoneal metastases beyond pelvis less than 2 cm in size
    
  
  
  • IIIC – peritoneal metastases beyond pelvis > 2 cm or lymph node metastases
    
  
  
  
  


• Stage IV – distant metastases to the liver or outside the peritoneal cavity
  

Para-aortic lymph node metastases are considered regional lymph nodes (Stage IIIC).


Key Points:4 stages, First 3 stages have subdivisions A,B,C.IVth stage has no sudivisions.


Treatment


TAH+BSO+OMENTECTOMY


Postoperative chemotherapy


Neoadjuvant chemo


Radiotherapy


Immunotherapy.

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