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In Recent Clinical News

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Ovarian Cancer Staging

Ovarian / Fallopian / Peritoneal

FIGO 2014 Revised Staging

I

Confined to Ovaries/Tubes

IA (1 side) | IB (Both sides) | IC (Capsule rupture/Washings +ve)

II

Pelvic Extension

IIA (Uterus/Tubes/Ovaries) | IIB (Other pelvic tissues)

III

Extra-Pelvic Peritoneal / Nodes

IIIA (Retroperitoneal nodes) | IIIB (Microscopic peritoneal) | IIIC (Macroscopic >2cm)

IV

Distant Metastasis

IVA (Pleural effusion +ve cytology) | IVB (Parenchymal metastasis)

Surgical staging is mandatory for ovarian cancer including omentectomy and lymphadenectomy.

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Primary Clinical Uses

Surgical staging of primary carcinoma of the ovary, fallopian tube, and peritoneum

Predicting overall survival and recurrence risk

Determining the obligite need for adjuvant platinum-based chemotherapy

The Fallopian Paradigm

The 2014 FIGO update unified Ovarian, Fallopian Tube, and Primary Peritoneal cancers under one identical staging classification. This reflects the modern oncological consensus that high-grade serous "ovarian" carcinoma predominantly originates in the fimbriated end of the fallopian tube.

Last Comprehensive Review: 2026