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Ovarian: Stage 1A
1a: Growth limited to ovaries, no ascites containing malignant cells, no tumor on external surface, capsule intact
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Ovarian: Stage 1B
1b: Growth limited to both ovaries, no ascites containing malignant cells, no tumor on external surface, capsule intact
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Ovarian: Stage 1C
1c: Tumor either 1a/b with tumor on surface of ovaries, capsule ruptured or ascites with malignant cells or positive peritoneal washings
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Ovarian: Stage 2A
2a: Extension to uterus or fallopian tubes
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Ovarian: Stage 2B
2b: Extension to other pelvic structures
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Ovarian: Stage 2C
2c: Either 2a/b with tumor on surface of ovaries, capsule ruptured or ascites with malignant cells or positive peritoneal washings
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Ovarian: Stage 3A
3a: Grossly limited to true pelvis with negative nodes, but histologically proven microscopic seeding of abdo peritoneal surfaces
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Ovarian: Stage 3B
3b: Histologically confirmed implants of abdominal peritoneal surfaces none exceeding 2cm, nodes negative
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Ovarian: Stage 3C
3c: Abdominal implants >2cm OR positive retroperitoneal or inguinal nodes
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Ovarian: Stage 4
4: Growth involving one or both ovaries with distant mets. If pleural effusion present, must have positive cytology. Includes parenchymal liver mets.
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Cervical: Stage IA1
- IA1: <3mm invasion, <7mm
- - <1% Nodes
Tx: Cone Biopsy, Simple Hysterectomy (97% 5 yr)
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Cervical: Stage IA2
- IA2: 3-5mm invasion but <7mm horizontal spread
- - 3-8% Nodes
Tx: SNL (if -ve Radical Hyst/Trachelectomy) (95% 5 yr)
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Cervical: Stage IB1
IB1: >5mm invasion, <4cm spread
Tx: SNL (if -ve Radical Hyst/Trachelectomy) (90% 5 yr)
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Cervical: Stage IB2
IB2: > 4cm spread, confined to Cx
Tx: Radiation/Cisplatin (75% 5 yr)
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Cervical: Stage IIA
IIA: beyond Cx, no parametrial involvement
Tx: Chemoradiation (70% 5 yr)
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Cervical: Stage IIB
IIB: Parametrial invasion
Tx: Chemoradiation (65% 5 yr)
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Cervical: Stage IIIA
IIIA: lower 1/3 of vagina, no extension to pelvic sidewall
Tx: Chemoradiation (40% 5 yr)
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Cervical: Stage IIIB
IIIB: Extends to pelvic sidewall +/or causes hydronephrosis
Tx: Chemoradiation (40% 5 yr)
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Cervical: Stage IVA
IVA: bladder, rectum +/or beyond true pelvis
Tx: Chemoradiation (20% 5 yr)
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Cervical: Stage IVB
IVB: distant mets
Tx: Chemoradiation (10% 5 yr)
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