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 |
Specialty: Hematology Oncology, Surgery, general, Obstetrics & Gynecology