Stage I |
Tumour confined to ovaries |
IA |
Tumour limited to one ovary, capsule intact, no tumour on surface, negative washing |
IB |
Tumour involves both ovaries, otherwise like IA |
IC |
Tumour limited to one or both ovaries |
IC1 |
Surgical spill |
IC2 |
Capsule rupture before surgery or tumour on ovarian surface |
IC3 |
Malignant cells in ascites or peritoneal washings. |
Stage II |
Tumour involves one or both ovaries with the pelvic extension (below the pelvic brim) or primary peritoneal cancer |
IIA |
Extension and/or implant on the uterus and/or Fallopian tubes |
IIB |
Extension to other intraperitoneal tissues |
Stage III |
Tumour involves one or both ovaries with cytologically or histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes |
IIA |
Positive retroperitoneal lymph nodes and/or microscopic metastasis beyond the pelvis. |
IIA1 |
Positive retroperitoneal lymph nodes only |
|
IIIA1(i) Metastasis </ = 10 mm |
|
IIIA1 (5) Metastasis >10 mm |
IIIA2 |
Microscopic, extrapelvic (above the brim) peritoneal involvement +/, positive retroperitoneal lymph nodes |
IIIB |
Macroscopic, extrapelvic, peritoneal metastases < or = 2 cm +/, positive retroperitoneal lymph nodes. Includes extension to the capsule of liver or spleen. |
IIIC |
Macroscopic, extrapelvic, peritoneal metastases >2 cm +/, positive retroperitoneal lymph nodes. Includes extension to the capsule of liver or spleen |
Stage IV |
Distant metastasis excluding peritoneal metastasis |
IVA |
Pleural effusion with positive cytology |
IVB |
Hepatic and/or spleen parenchymal metastasis to extraabdominal organs (including inguinal lymph nodes and lymph nodes outside the abdominal cavity) |