
Stages of Ovarian Cancer
The first thing to be said about ovarian cancer is that it is not that common and about two-thirds of women
diagnosed with ovarian cancer live on after their treatment. About 75% of younger women who are diagnosed early
remain fertile after treatment and most of the women who die, do so because they have progressed to the later
stages of ovarian cancer.
Stages of Ovarian Cancer
The stages of ovarian cancer are judged according to the FIGO staging system ( the AJCC system is virtually
identical) and relies on the results of one or more surgical operations.
The final result or cure, depending on these results, could be the removal of one or both of the ovaries or/and
one or both of the fallopian tubes and may even necessitate the removal of the womb as well - in other words, a complete hysterectomy, although this
can normally be avoided in younger women and those who have been diagnosed early.
A brief description of the stages of ovarian cancer follows:
Stage One: involves one or both ovaries
1A: involves one ovary - ovary still intact - no tumor
1B: involves both ovaries - ovaries still intact - no tumor
1C: involves one or both ovaries - ovary (ies) ruptured - limited cancerous growth.
Stage Two: cancerous growth into the pelvic region
2A: cancerous growth into the uterous or fallopian tubes
2B: cancerous growth into the pelvis
2C: cancerous growth into the pelvis with positive peritoneal washings
Stage Three: tiny, microscopic cancerous growths outside the pelvic region or into the small bowel or
omentum
3A: microscopic cancerous growths outside the pelvic region
3B: larger cancerous growths (less than 2 cm in size) outside the pelvic region.
3C: larger cancerous growths (more than 2 cm in size) outside the pelvic region.
Stage Four: cancerous growths have migrated to the liver or outside the peritoneal cavity.
Cancers, including ovarian cancer are graded as well. There are four grades of cancer, which relate to the
likelihood of the cancer spreading to other areas of the body - the higher the number, the more higher the chance
of the cancer spreading.
Grade 0: these are borderline or non-invasive tumors
Grade 1: this grade includes tumors that are made up of cells that are similar to the surrounding tissue
Grade 2: these tumors are known as 'moderately well differentiated', in other words, the cells of the tumor are
significantly different from the cells in the tissue in the surrounding area.
Grade 3: these tumors contain 'poorly differentiated cells'. They are the worst kind, the cells are
abnormal.
If you are reading this article because you have been diagnosed with ovarian cancer, then I am sure that you are
already in the safe hands of a consultant, but if you are reading this web site out of interest, remember that this
is only a basic outline of the stages of ovarian cancer.
Remember that not all of the stages of ovarian cancer are lethal if they are treated in time. The appropriate
advice is to have regular check ups, because the earlier cancer is diagnosed, the easier it can be removed.
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