According to FIGO 2014 staging for ovarian cancer, a patient has disease involving both ovaries with capsule intact, no tumor on surface, negative washings, and unilateral pelvic implants on the pelvic peritoneum. What is her stage?

• A Stage IIB ✓
• B Stage IA
• C Stage IB
• D Stage IIA

Explanation

FIGO 2014: Stage I is confined to ovaries. Stage IIA is extension/implants on the uterus or fallopian tubes. Stage IIB is extension to other pelvic intraperitoneal tissues. This patient has bilateral ovarian involvement (not Stage IA) with implants on pelvic peritoneum beyond the uterus/tubes (IIB, not IIA). Stage IB is bilateral ovaries with intact capsule and negative washings, but adding pelvic peritoneal implants beyond uterus/tubes moves it to IIB.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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