According to FIGO 2014 staging of ovarian carcinoma, which finding defines Stage II disease?

• A Tumor limited to one ovary with capsular rupture
• B Tumor involving one or both ovaries with spread to the liver parenchyma
• C Tumor involving one or both ovaries with microscopically confirmed peritoneal metastasis outside the pelvis
• D Tumor involving one or both ovaries with pelvic extension below the pelvic brim ✓

Explanation

Stage II ovarian carcinoma is defined by pelvic extension of tumor below the pelvic brim, such as to the uterus, fallopian tubes, or other pelvic tissues. Stage I is limited to the ovary. Stage III includes peritoneal metastasis beyond the pelvis. Stage IV includes distant metastasis such as liver parenchymal deposits. This distinction is critical for prognosis and treatment planning.

Reference: FIGO Committee on Gynecologic Oncology, 2014 ed.

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