10. STAGE 1 : Confined to ovaries
One ovary Both ovaries
One or both ovaries
A B C
C1 – Surgical spillage
C2 – Before surgery
C3– Malignant cells in Ascitic
fluid or peritoneal washing
11. STAGE 2 : PELVIC EXTENSION
.
.
.
.
2A – Extension and / implants on
UTERUS AND FALLOPIAN
TUBE
2B – Extension to other pelvic organs
12. .
STAGE 3 – EXTRA PERITONEAL EXTENSION
3A: Positive retroperitoneal lymphnodes/
Micrometastasis beyond pelvis
A1:Positive lymphnodes only (metastatisis less
. than or more than 10mm
A2: Microscopic extrapelvic with or without
. nodal involvement
.
13. 3B: Macroscopic peritoneal metastasis
beyond pelvis up to 2 cm in greatesest
dimenslon,
3C: Macroscopic peritoneal metastasis
beyond pelvis up to 2 cm with extension
of tumour to capsule of liver and spleen
14. 4A :Pleural effusion with positive cytology
4B :Hepatic or splenic
parenchymal metastasis
to extra abdominal organs.
STAGE 4 : DISTANT METASTASIS
18. .
.
1. ULTASOUND
Solid tumour
Thick capsule
Papilary projections
Thick septum (> 5mm)
Enlarged paraaortic nodes Ascitis
and metastasis can be evaluated
19. .
a. Carcino embroyonic antigen
b. Ca 125
c. Alfa feto protein
d. Placental alkaline phosphate
e. Alkaline phosphate
f . LDH
2 TUMOUR MARKERS
g. CA 19-9
h. Inhibin B
20. Ca 125
It is a glycoprotein antigen
Sensititivity Is very high
Used for
EARLY DIAGONOSIS
RECURENCE
RESPONSE TO THERAPY
Differentiating BENINGN and MALIGNANT
Also raised in abdominal TB and Endometriosis