According to FIGO 2023 staging of ovarian cancer, a patient has bilateral ovarian tumors with capsule rupture during surgery. Peritoneal washings are negative for malignant cells. What is the correct FIGO stage?

• A Stage IC1
• B Stage IC3
• C Stage IIA
• D Stage IC2 ✓

Explanation

FIGO 2014/2023 ovarian cancer staging: Stage IC1 = surgical spill; Stage IC2 = capsule rupture before surgery OR tumor on ovarian/fallopian tube surface; Stage IC3 = positive peritoneal washings or ascites. Capsule rupture during surgery constitutes surgical spill (IC1), not IC2. Since the rupture occurred during surgery, this is Stage IC1. However, if the rupture occurred before surgery, it would be IC2. The question specifies intraoperative rupture, making this IC1.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

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