Carcinoma Ovary

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  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
    
  
  
  
  


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  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.

Related articles

• Genetic associations of some carcinomas

Carcinoma Endometrium

Stage I-Tumour limited to uterine corpus

• Stage IA: tumor limited to the endometrium
  


• Stage IB: invasion of less than half the myometrium
  


• Stage IC: invasion of more than half the myometrium
  

Stage II-Tumour confined to uterus and cervix

• Stage IIA: endocervical glandular involvement only
  


• Stage IIB: cervical stromal invasion
  

Stage III-Local spread confined to the pelvis

• Stage IIIA: tumor invades serosa or adnexa, or malignant peritoneal cytology
  


• Stage IIIB: vaginal metastasis
  


• Stage IIIC: metastasis to pelvic or para-aortic lymph nodes
  

Stage IV-Distant spread/organ invasion

• Stage IVA: invasion of the bladder or bowel
  


• Stage IVB: distant metastasis, including intraabdominal or inguinal lymph nodes
  

Key Points:

• 4 stages Stage I and III has 3 subdivisions A,B,C.
  


• LN spread mentioned only in STAGE III AND IV
  

Treatment :


Stage I and II-TAH+BSO,stage II may also need adjuvant radiotherapy


Stage III and IV-TAH+BSO+postoperative radiotherapy