FIGO Staging for Ovarian Cancer (2014)
2014 FIGO (International Federation of Gynaecology and Obstetrics) staging system for ovarian, fallopian tube, and peritoneal cancer. Used for prognosis and treatment planning.
Score interpretation
FIGO Stage I — tumour confined to ovary/ovaries
→ Stage IA/IB: fertility-sparing surgery appropriate if reproductive age; total abdominal hysterectomy + bilateral salpingo-oophorectomy + staging (omentectomy, lymph nodes, peritoneal biopsies); adjuvant chemotherapy for IC; platinum-based chemotherapy (carboplatin + paclitaxel) if high-grade
FIGO Stage II — tumour involves one or both ovaries with pelvic extension
→ Optimal cytoreductive surgery (aim for no residual disease); platinum-based chemotherapy 6 cycles; consider HIPEC in selected centres; MDT discussion; genetic testing (BRCA1/2, Lynch)
FIGO Stage III — tumour involves one or both ovaries with peritoneal spread beyond pelvis
→ Primary debulking surgery (PDS) if resectable; neoadjuvant chemotherapy (NACT) then interval debulking if upfront surgery not feasible; carboplatin + paclitaxel × 6 cycles ± bevacizumab; PARP inhibitor maintenance (olaparib/niraparib) if BRCA mutated; MDT; clinical trial consideration
FIGO Stage IV — distant metastases beyond peritoneal cavity
→ NACT then interval debulking; carboplatin + paclitaxel ± bevacizumab; maintenance therapy; palliative care involvement; BRCA/HRD testing for PARP inhibitor eligibility; clinical trial; comprehensive MDT
Interpretation bands for the FIGO Ovarian Staging. Apply clinical judgement and local guidance.
References
- Prat J. FIGO's staging classification for cancer of the ovary, fallopian tube, and peritoneum: abridged republication. J Gynecol Oncol. 2015;26(2):87–89.
Related
Curated clinical cross-links plus same-class fallbacks.
- Zoledronic Acid · Bisphosphonate (IV)
- Denosumab · RANK Ligand Inhibitor (Anti-resorptive)
- Cetuximab · Anti-EGFR Monoclonal Antibody — Head and Neck Cancer
- Cisplatin · Platinum Chemotherapy — Head and Neck Cancer
- Zoledronic Acid · IV Bisphosphonate
- Folic Acid (Pre-conception and Pregnancy) · Vitamin / Neural Tube Defect Prevention
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.