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OBG · Gynaecological oncology: FIGO ovarian stage IC1
Sample itemDuring removal of an apparently stage IA ovarian serous tumour, the capsule ruptures and fluid spills into the pelvis. No other disease is found. What is the FIGO stage?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. IC1
Surgical spill of an intact-capsule tumour is stage IC1. IC2 means capsule rupture before surgery or tumour on the ovarian surface, and IC3 means malignant cells in ascites or washings.
Option by option
A. IA
IA requires an intact capsule without spill.
B. IC1 (correct)
Correct. Intra-operative spill defines IC1.
C. IC2
IC2 requires rupture before surgery or surface tumour.
D. IIA
IIA requires extension to the uterus or tubes.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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