_id

683a1632c782e11e38d1b270

id

10108

complaint

[ "Abdominal Pain", "Nausea", "Fatigue", "Weight Loss/Gain", "Cancer" ]

departments

[ "Reproductive", "Oncologic" ]

description

The FIGO Staging for Ovarian Cancer (2014) stages cancer of the ovary, fallopian tube, and peritoneum.

diseases

[ "Ovarian Cancer" ]

evidence

formula

full_title

FIGO Staging for Ovarian Cancer (2014)

information

input_schema

[ { "conditionality": "", "label_en": "Tumor location", "name": "location", "optional": false, "options": [ { "label": "Tumor confined to ovaries", "value": 0 }, { "label": "Tumor involves 1 or both ovaries with pelvic extension (below the pelvic brim) or primary peritoneal cancer", "value": 1 }, { "label": "Tumor involves 1 or both ovaries with cytologically or histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes", "value": 2 }, { "label": "Distant metastasis excluding peritoneal metastasis", "value": 3 } ], "show_points": false, "type": "radio" }, { "conditionality": "location == 0", "label_en": "Tumor confined to ovaries", "name": "ovaries", "optional": false, "options": [ { "label": "Tumor limited to 1 ovary, capsule intact, no tumor on surface, negative washings", "value": 0 }, { "label": "Tumor involves both ovaries otherwise like above", "value": 1 }, { "label": "Tumor limited to 1 or both ovaries", "value": 2 } ], "show_points": false, "type": "radio" }, { "conditionality": "ovaries == 2", "label_en": "Tumor limited to 1 or both ovaries", "name": "limited", "optional": false, "options": [ { "label": "Surgical spill", "value": 0 }, { "label": "Capsule rupture before surgery or tumor on ovarian surface", "value": 1 }, { "label": "Malignant cells in the ascites or peritoneal washings", "value": 2 } ], "show_points": false, "type": "radio" }, { "conditionality": "location == 1", "label_en": "Tumor involves 1 or both ovaries with pelvic extension (below the pelvic brim) or primary peritoneal cancer", "name": "extension", "optional": false, "options": [ { "label": "Extension and/or implant on uterus and/or fallopian tubes", "value": 0 }, { "label": "Extension to other pelvic intraperitoneal tissues", "value": 1 } ], "show_points": false, "type": "radio" }, { "conditionality": "location == 2", "label_en": "Tumor involves 1 or both ovaries with cytologically or histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes", "name": "spread", "optional": false, "options": [ { "label": "Positive retroperitoneal lymph nodes and/or microscopic metastasis beyond the pelvis", "value": 0 }, { "label": "Macroscopic, extrapelvic, peritoneal metastasis ≤2 cm ± positive retroperitoneal lymph nodes; includes extension to capsule of liver/spleen", "value": 1 }, { "label": "Macroscopic, extrapelvic, peritoneal metastasis >2 cm ± positive retroperitoneal lymph nodes; includes extension to capsule of liver/spleen", "value": 2 } ], "show_points": false, "type": "radio" }, { "conditionality": "spread == 0", "label_en": "Positive retroperitoneal lymph nodes and/or microscopic metastasis beyond the pelvis", "name": "lymph", "optional": false, "options": [ { "label": "Positive retroperitoneal lymph nodes only", "value": 0 }, { "label": "Microscopic, extrapelvic (above the brim) peritoneal involvement ± positive retroperitoneal lymph nodes", "value": 1 } ], "show_points": false, "type": "radio" }, { "conditionality": "lymph == 0", "label_en": "Metastasis", "name": "metastasis", "optional": false, "options": [ { "label": "Metastasis ≤10 mm ", "value": 0 }, { "label": "Metastasis >10 mm", "value": 1 } ], "show_points": false, "type": "radio" }, { "conditionality": "location == 3", "label_en": "Distant metastasis excluding peritoneal metastasis", "name": "distant", "optional": false, "options": [ { "label": "Pleural effusion with positive cytology", "value": 0 }, { "label": "Hepatic and/or splenic parenchymal metastasis, metastasis to extra-abdominal organs (including inguinal lymph nodes and lymph nodes outside of the abdominal cavity)", "value": 1 } ], "show_points": false, "type": "radio" } ]

instructions

ismed

false

keywords

Tnm staging for ovarian cancer, tnm, tnm staging, fallopian tube, peritoneum, ovary, ovaries

measurements

[]

med_description

Stages cancer of the ovary, fallopian tube, and peritoneum.

next_actions

next_advice

Treat according to stage and consideration for patient preferences.

next_management

pearls

• Stage IB (bilateral involvement) is uncommon and only occurs in 1-5% of stage I cases (Heintz 2006). Large stage IB ovarian tumors associated with a contralateral normal‐size ovary with small superficial tumor foci suggest the latter are metastatic (⅓ of stage I tumors with bilateral involvement look like this) (Prat 2013).

• Controversy exists around whether positive lymph nodes (macroscopic) above the renal vessels should be considered stage III or IV, and are not addressed by the current guidelines.

published

purpose

[ "Diagnosis" ]

reasons

refrences

{ "Clinical Practice Guidelines": [ { "href": "", "text": "" } ], "Manufacturer Website": [ { "href": "", "text": "" } ], "Original/Primary Reference": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/24219974", "text": "Prat J. Staging classification for cancer of the ovary, fallopian tube, and peritoneum. Int J Gynaecol Obstet. 2014;124(1):1-5." } ], "Other References": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/17161157", "text": "Heintz AP, Odicino F, Maisonneuve P, et al. Carcinoma of the ovary. FIGO 26th Annual Report on the Results of Treatment in Gynecological Cancer. Int J Gynaecol Obstet. 2006;95 Suppl 1:S161-92." } ], "Outcomes": [ { "href": "", "text": "" } ], "Validation": [ { "href": "", "text": "" } ] }

related

[ { "calcId": 10517, "short_title_en": "IOTA Simple Rules Risk Assessment", "slug": "international-ovarian-tumor-analysis-iota-simple-rules-risk-assessment" }, { "calcId": 10103, "short_title_en": "RMI for Ovarian Cancer", "slug": "risk-malignancy-index-rmi-ovarian-cancer" }, { "calcId": 10426, "short_title_en": "G8 Screening Tool", "slug": "g8-geriatric-screening-tool" } ]

search_terms

[ "fallopian tube", "peritoneum", "ovary", "ovaries", "mass" ]

section

[ "whenToUseViewed", "pearlsPitfallsViewed", "nextStepsViewed", "evidenceViewed" ]

seo

{ "keywords_en": "Tnm staging for ovarian cancer, tnm, tnm staging, fallopian tube, peritoneum, ovary, ovaries", "meta_description_en": "The FIGO Staging for Ovarian Cancer (2014) stages cancer of the ovary, fallopian tube, and peritoneum." }

short_description

Ovarian CA staging.

short_title

FIGO Staging for Ovarian Cancer

slug

figo-staging-ovarian-cancer-2014

specialty

[ "OB-Gyn", "Internal Medicine", "Hospitalist Medicine", "Hematology and Oncology", "Radiology", "Radiation Oncology", "Gastroenterology" ]

tags

[]

title

FIGO Staging for Ovarian Cancer (2014)

usecase

Use postoperatively in patients with histologically-proven ovarian cancer (surgical pathology is needed in order to stage).

version_number

versions

[]

cleaned_departments

[ "gynecology", "oncology" ]

cleaned_use

[ "Use postoperatively in patients with histologically-proven ovarian cancer (surgical pathology is needed in order to stage)." ]

pub

false