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. 2021 Feb 5;2021(2):CD005343. doi: 10.1002/14651858.CD005343.pub5

1. Carcinoma of the ovary: FIGO* nomenclature.

Stage Extent of tumour Substage Details
I Limited to ovaries Ia Limited to 1 ovary, no tumour on surface or capsule rupture, no positive ascites
Ib Limited to both ovaries, no tumour on surface or capsule rupture, no positive ascites
Ic Stage Ia or Ib but with capsule ruptured, tumour on ovarian surface or positive peritoneal washings/ascites
II Limited to 1 or both ovaries with pelvic extension IIa Extension, metastases to uterus, tubes, or a combination
IIb Extension to other pelvis tissues
II c Stage IIa or IIb with tumour on the surface of 1 or both ovaries, or with capsule ruptured, or with positive peritoneal washings/ascites
III Limited to abdomen with histologically confirmed peritoneal implants outside the pelvis or positive nodes, or both, or extension to small bowel or omentum IIIa Tumour grossly limited to the true pelvis with negative regional lymph nodes, microscopic seeding of abdominal peritoneal surfaces or extension to small bowel or mesentery
IIIb Macroscopic metastases < 2 cm; negative regional lymph nodes
IIIc Macroscopic metastases > 2 cm or positive regional lymph nodes, or both
IV Distant metastases   Growth outside the abdominal cavity (e.g. lung, liver parenchyma (superficial liver metastases is stage III))

FIGO: Federation of International Gynaecologists and Obstetricians. * From FIGO 2009 as all included studies used 2009 classification not 2018.