Ovarian cancer

Question 1

Stage 1

Answer 1

Confined to ovaries

Question 2

Stage 2

Answer 2

Tumour confined to pelvis

Question 3

Stage 3

Answer 3

Confined to abdominal peritoneum OR positive retroperitoneal LN OR inguinal LN

Question 4

1C1

Answer 4

One or both ovaries + SURGICAL SPILL

Question 5

1C2

Answer 5

Capsule rupture pre op OR tumour on surface

Question 6

1C3

Answer 6

Malignant cells in ascites or washings

Question 7

1A

Answer 7

One ovary, no external tumour, INTACT CAPSULE, no ascites

Question 8

1B

Answer 8

Both ovaries, no external tumour, CAPSULE INTACT, no ascites

Question 9

3C

Answer 9

Abdominal implants >/= 2cm OR positive retroperitoneal LN OR inguinal LN

Question 10

2A

Answer 10

Spread to uterus, fallopian tubes

Question 11

4B

Answer 11

Distant mets

Question 12

2C

Answer 12

As 2A/B but with tumour on surface of ovary OR capsule rupture OR ascites positive for tumour cells

Question 13

4A

Answer 13

Pleural effusion

Question 14

2B

Answer 14

Extension to other intraperitoneal structures - bladder / rectum

Question 15

3A

Answer 15

Grossly limited to pelvis with negative LN but histologically confirmed peritneal deposits

Question 16

3B

Answer 16

Abdominal implants <2cm