Ovarian cancer: Difference between revisions

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==Treatment==
==Treatment==
[[Ovarian cancer medical therapy|Medical therapy]] | [[Ovarian cancer surgery|Surgical options]] | [[Ovarian cancer primary prevention|Primary prevention]]  | [[Ovarian cancer secondary prevention|Secondary prevention]] | [[Ovarian cancer cost-effectiveness of therapy|Financial costs]] | [[Ovarian cancer future or investigational therapies|Future therapies]]
[[Ovarian cancer medical therapy|Medical therapy]] | [[Ovarian cancer surgery|Surgical options]] | [[Ovarian cancer primary prevention|Primary prevention]]  | [[Ovarian cancer secondary prevention|Secondary prevention]] | [[Ovarian cancer cost-effectiveness of therapy|Financial costs]] | [[Ovarian cancer future or investigational therapies|Future therapies]]
==Staging==
Ovarian cancer staging is by the [[FIGO]] staging system and uses information obtained after surgery, which can include a total abdominal [[hysterectomy]], removal of (usually) both ovaries and fallopian tubes, (usually) the [[omentum]],  and pelvic (peritoneal) washings for [[cytology]].  The American Joint Committee on Cancer (AJCC) stage is the same as the FIGO stage.
*Stage I - limited to one or both ovaries
**IA - involves one ovary; [[Capsule (anatomy)|capsule]] intact; no tumor on ovarian surface; no malignant cells in [[ascites]] or peritoneal washings
**IB - involves both ovaries; capsule intact; no tumor on ovarian surface; negative washings
**IC - tumor limited to ovaries with any of the following: capsule ruptured, tumor on ovarian surface, positive washings
*Stage II - pelvic extension or implants
**IIA - extension or implants onto uterus or fallopian tube; negative washings
**IIB - extension or implants onto other pelvic structures; negative washings
**IIC - pelvic extension or implants with positive peritoneal washings
*Stage III - microscopic peritoneal implants outside of the pelvis; or limited to the pelvis with extension to the small bowel or omentum
**IIIA - microscopic peritoneal metastases beyond pelvis
**IIIB - macroscopic peritoneal metastases beyond pelvis less than 2 cm in size
**IIIC - peritoneal metastases beyond pelvis > 2 cm or lymph node metastases
*Stage IV - distant metastases--in the liver, or outside the peritoneal cavity
Para-aortic lymph node metastases are considered regional lymph nodes (Stage IIIC).


==Diagnosis==
==Diagnosis==

Revision as of 20:51, 17 January 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

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