1. Stage IIc.

2. Stage IIIa.

3. Stage IIIb.

4. Stage IIIc.

 

1. Stage IIc.

4. Stage IIIc.

Reference

Test book of Gynaecology 2^nd  Edition D.C.Dutta page 340

Shaw FIGO Staging

2 Spotters !!

Repeat

FIGO Staging is Given in all books

Points given are

1.        Ovarian Tumour

2.        Unilateral

3.        Ascites - Malignant Cells

4.        Pelvic Nodes

Please refer to the FIGO Staging. It is Identical in Shaw and Durtta. The problem is with the interpretation. The constraints of space prevents me from putting this lengthly table here again. In short

·         Stage II is : Tumour involving one or both ovaries with pelvic extension

·         Stage III is : Tumour involving one or both ovaries with peritoneal implants outside the pelvis and/or positive retroperitoneal or inguinal nodes. Supf Liver Metastasis is State III

The classical description of Ascites containing Malignant cells fit in with the staging IIc. But

·         There is no mention of any lymph node in Stage IIc

·         When Retroperitoneal nodes are involved, it is Stage IIIc

·         The question says Pelvic node

Now if we consider

·         Pelvic node as a Pelvic Tissue, the
Answer will be IIc

·         Pelvic node as a Retroperitoneal Node, the
Answer will be IIIc

1. The Tumour is Stage IIc if we consider Pelvic node as a Pelvic Tissue.

2. The Tumour cannot be Stage IIIa as in Stage IIIa Nodes are negative.

3. The Tumour cannot be Stage IIIb as in Stage IIIb Nodes are negative

4. The Tumour is Stage IIIc if we consider Pelvic node as a Retroperitoneal Node

You decide!!!

Most Question paper will have Questions from Staging and they will be 99 % Straightforward. This is a rare occasion where there is a controversy