Stage I: Tumour confined to ovaries |
1A: Tumor limited to 1 ovary, capsule intact, no tumor on surface, negative washings. |
1B: Tumor involves both ovaries otherwise like IA. |
1C: 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 |
11A: 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) |