LFTs if ascites present Cystoscopy if anterior pelvis involved Spread of ovarian cancer is transcoelemic and ovarian lymphatic drainage. Tumor is limited to the true pelvis but with histologically proven malignant extension to small bowel or omentum. IIIA Tumor grossly limited to the true pelvis with negative nodes but with histologically confirmed microscopic seeding of abdominal peritoneal surfaces. IIIB Tumor involving one or both ovaries with histologically confirmed implants of abdominal peritoneal surfaces not exceeding 2 cm in diameter. IV Growth involving one or both ovaries, with distant metastases.
Most vaginal cancer is metastatic.
They are rare. The carcinoma has extended beyond the true pelvis or has clinically involved the mucosa of the bladder or rectum. No nodal metastasis. As above with stromal invasion greater than 1.0 mm. The depth of invasion is defined as the measurement of the tumor from the epithelial-stromal junction of the adjacent most superficial dermal papilla to the deepest point of invasion.