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TABLE 241-7. SURGICOPATHOLOGIC STAGING OF FALLOPIAN TUBE CARCINOMA

TABLE 241-7. SURGICOPATHOLOGIC STAGING OF FALLOPIAN TUBE CARCINOMAa
Stage Description
0 Carcinoma in situ (limited to tubal mucosa)
I Limited to the fallopian tubes
Ia Limited to one tube with extension into the submucosa or muscularis but not penetrating the serosal surface; no ascites
Ib Limited to both tubes with extension into the submucosa or muscularis but not penetrating the serosal surface; no ascites
Ic Stage Ia or b with tumor extension through or onto the tubal serosa or with ascites containing malignant cells or with peritoneal washings containing malignant cells
II Involving one or both fallopian tubes with pelvic extension
IIa Extension and/or metastasis to the uterus or ovaries
IIb Extension to other pelvic tissues
IIc Stage IIa or b with ascites containing malignant cells or with peritoneal washings containing malignant cells
III Involving one or both fallopian tubes with peritoneal implants outside the pelvis or positive retroperitoneal or inguinal lymph nodes; superficial liver metastases equals stage III. Appears limited to the true pelvis, but with histologically confirmed malignant extension to the small bowel or omentum
IIIa Grossly limited to the true pelvis with negative lymph nodes, but with histologically confirmed microscopic seeding of abdominal peritoneal surfaces
IIIb Involving one or both tubes with histologically confirmed implants of abdominal peritoneal surfaces, none > 2 cm in diameter; negative lymph nodes
IIIc Abdominal implants > 2 cm in diameter or positive retroperitoneal or inguinal lymph nodes
IV Involving one or both fallopian tubes with distant metastases.If pleural effusion is present, cytology must be positive to signify stage IV. Parenchymal liver metastases equals stage IV
aAs described by the International Federation of Gynecology and Obstetrics (FIGO). Surgical findings designating stage are determined before tumor debulking.