Description

Cancer of the fallopian tubes can be classified using the TNM or the FIGO systems.


 

Tumor Extent

TNM

FIGO

limited to tubal mucosa (in situ)

Tis

0

limited to one or both fallopian tubes

T1

I

extension to pelvic organs

T2

II

extension to peritoneum outside of the pelvis

T3

III

no metastasis in regional lymph nodes

N0

 

metastasis to regional lymph nodes

N1

IIIC

no distant metastasis

M0

 

distant metastasis

M1

IV

 

where:

• Metastasis to the peritoneum over the liver is T3, while hepatic parenchymal metastasis is M1.

 

Subclassification in Limited Disease

TNM

FIGO

one tube involved with intact serosa

T1a

IA

two tubes involved, both with intact serosa

T1b

IB

serosa penetrated with malignant cells on fluid cytology

T1c

IC

 

 

Subclassification in Pelvic Extension

TNM

FIGO

involvement of uterus and/or ovaries

T2a

IIA

involvement of other pelvic structures

T2b

IIB

malignant cells in fluid cytology

T2c

IIC

 

 

Subclassification in Extrapelvic Peritoneal Extension

TNM

FIGO

microscopic peritoneal metastasis

T3a

IIIA

peritoneal metastasis <= 2 cm in diameter

T3b

IIIB

peritoneal metastasis > 2 cm in diameter

T3c

IIIC

 

 

TNM Classification

Stage

Tis N0 M0

0

T1a N0 M0

IA

T1b N0 M0

IB

T1c N0 M0

IC

T2a N0 M0

IIA

T2b N0 M0

IIB

T2c N0 M0

IIC

T3a N0 M0

IIIA

T3b N0 M0

IIIB

T3c N0 M0

T1-3 N1 M0

IIIC

T1-3 N0-1 M1

IV

 


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