FIGO 2014 ovarian cancer staging

Oncology, staging and radiology

Also known as: FIGO-Klassifikation Ovarialkarzinom (2014) · Over kanseri FIGO 2014 evrelemesi · FIGO 2014 staging of cancer of the ovary, fallopian tube and peritoneum

What it is for

Common surgical staging of ovarian, fallopian tube and primary peritoneal cancer by FIGO, based mainly on surgical exploration; the primary site (ovary, tube, peritoneum or unknown) is recorded.

Classification

CategoryDescription
Iconfined to the ovaries or fallopian tubes. IA one ovary/tube, capsule intact, no surface tumour, negative washings; IB both ovaries/tubes, otherwise as IA; IC one or both with IC1 surgical spill, IC2 capsule rupture before surgery or surface tumour, IC3 malignant cells in ascites or washings.
IIpelvic extension below the pelvic brim (or primary peritoneal cancer): IIA uterus and/or tubes and/or ovaries; IIB other pelvic intraperitoneal tissues.
IIIperitoneal spread outside the pelvis and/or retroperitoneal lymph node metastasis. IIIA1 positive retroperitoneal nodes only (IIIA1(i) ≤10 mm, IIIA1(ii) >10 mm); IIIA2 microscopic extrapelvic peritoneal involvement ± nodes; IIIB macroscopic extrapelvic peritoneal metastasis ≤2 cm ± nodes; IIIC >2 cm ± nodes (includes liver or spleen capsule without parenchymal involvement).
IVdistant metastasis excluding peritoneal metastasis: IVA pleural effusion with positive cytology; IVB parenchymal and extra-abdominal metastases (including inguinal nodes and nodes outside the abdominal cavity).
TNMthe stages correspond to UICC T1–T3, N0–N1 and M1 categories (e.g. IC1 = T1c1 N0 M0).

Source

Staging classification for cancer of the ovary, fallopian tube, and peritoneum

Int J Gynaecol Obstet 2014;124:1–5 (Prat J; FIGO Committee on Gynecologic Oncology)

DOI: 10.1016/j.ijgo.2013.10.001

PMID: 24219974

Edition
FIGO 2014 (Prat 2014), still current per the FIGO Cancer Report 2025
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