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STAGING CLASSIFICATION FOR CANCER OF THE OVARY, FALLOPIAN AND PERITONEUM.

Dr Farah Malik,Dr Hafiza Arooj Fatima,Dr Faiqa Azhar

Abstract: The Gynecologic Oncology Committee of FIGO in 2014 revised the staging of ovarian cancer, incorporating ovarian, fallopian tube, and peritoneal cancer into the same system. Most of these malignancies are high-grade serous carcinomas (HGSC). Stage IC is now divided into three categories: IC1 (surgical spill); IC2 (capsule ruptured before surgery or tumor on ovarian or fallopian tube surface); and IC3 (malignant cells in the ascites or peritoneal washings). The updated staging includes a revision of Stage IIIC based on spread to the retroperitoneal lymph nodes alone without intraperitoneal dissemination. This category is now subdivided into IIIA1 (i) (metastasis ≤10 mm in greatest dimension), and IIIA1 (ii) (metastasis >10 mm in greatest dimension). Stage IIIA2 is now “microscopic extra pelvic peritoneal involvement with or without positive retroperitoneal lymph node” metastasis.

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