A 55-year-old postmenopausal woman undergoes staging laparotomy for ovarian cancer. Histology shows serous carcinoma of the left ovary. The tumor is confined to the left ovary only, with capsule intact, no surface tumour, negative peritoneal washings. FIGO 2014 stage is:
- A Stage IB
- B Stage IC1
- C Stage IA ✓
- D Stage IC3
Correct answer: C. Stage IA
Explanation
FIGO 2014 staging: Stage IA = tumor limited to one ovary, capsule intact, no tumor on surface, negative peritoneal cytology. Stage IB involves both ovaries. Stage IC1 is surgical spill, IC2 is preoperative capsule rupture or surface tumour, IC3 is positive peritoneal cytology. This case meets all IA criteria.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
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