A new TNM classification of malignant tumors of the ovary, fallopian tube, and peritoneum


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Abstract

The changes in the 8th edition of the TNM classification of malignant tumors of the ovary, fallopian tube, and peritoneum, by examining the 2013 FIGO classification were reviewed; a rationale for these changes was provided. The paper presents the new 8th edition of the TNM classification of malignant tumors of the ovary, fallopian tube, and peritoneum, which is based on the 2013 FIGO classification. It describes in detail the key differences between the new classification and the previous one, as well as the features of using the new classification in clinical practice. In addition, there is concise information on the epidemiology of ovarian tumors, as well as modern views on their etiology. The main innovations of this classification are as follows: its inclusion of tumors of the fallopian tube and peritoneum; the importance of identifying the histological type of a tumor and the degree of its differentiation; assignment of isolated lesions of the retroperitoneal lymph nodes to stage IIIA; differentiation of tumor extension from the peritoneum into the hepatic or splenic parenchyma (stage IIIC) and that of isolated metastases in the parenchyma of these organs (stage IVB).

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About the authors

K. A Pavlov

The State Research Center A.I. Burnazyan Federal Medical Biophysical Center, Federal Biomedical Agency of Russia

Email: pavlovkos@gmail.com
PhD, pathologist, department of pathology

E. A Dubova

The State Research Center A.I. Burnazyan Federal Medical Biophysical Center, Federal Biomedical Agency of Russia; National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: dubovaea@gmail.com
MD, PhD, researcher; pathologist, department of pathology

Valeriya Il'inichna Arkhipova

The State Research Center A.I. Burnazyan Federal Medical Biophysical Center, Federal Biomedical Agency of Russia

Email: varxipova@fmbcfmba.ru
PhD, head of gynecological department

R. G Shmakov

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: r_shmakov@oparina4.ru
MD, PhD, head physician

M. M Pirogova

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: pirogovamariya@gmail.com
postgraduate

S. V Lishchuk

The State Research Center A.I. Burnazyan Federal Medical Biophysical Center, Federal Biomedical Agency of Russia

Email: slishuk@fmbcfmba.ru
head of department of pathology

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