TNM Classification: Ovary carcinoma

T- Primary tumor

TX - Primary tumor cannot be assessed

TO - No evidence of primary tumor

T1 - Tumor limited to the ovaries

T1a - Tumor limited to one ovary; capsule intact, no tumor invasion on ovarian surface; no malignant cells in ascites or peritoneal washings

T1b - Tumor limited to both ovaries; capsule intact, no tumor invasion on ovarian surface; no malignant cells in ascites or peritoneal washings

T1c - Tumor limited to one or both ovaries with any or the following features; capsule ruptured, tumor on ovarian surface, malignant cells in ascites or peritoneal washing

T2 - Tumor involves one or both ovaries with pelvic extension

T2a - Extension and/or implants on uterus and/or tube(s); no malignant cells in ascites or peritoneal washings

T2b - Extension to other pelvic tissue; no malignant cells in ascites or peritoneal washings

T2c - Pelvic extension (T2a or T2b) with malignant cells in ascites or peritoneal washings

T3 and/or N1 - Tumor involves both ovaries with microscopically confirmed peritoneal metastasis outside the pelvis and/or regional lymph node metastasis

T3a - Microscopic peritoneal metastasis beyond pelvis

T3b - Macroscopic peritoneal metastasis beyond pelvis 2 cm or less in greatest dimension

T3c and/or N1 - Peritoneal metastasis beyond pelvis more than 2 cm in greatest dimension and/or regional lymph node metastasis

N - Regional lymph nodes

NX - Regional lymph nodes cannot be assessed

NO - No regional lymph node metastasis

N1 - Regional lymph node metastasis

M - Distant metastasis

MX - Distant metastasis cannot be assessed

MO - No distant metastasis

M1 - Distant metastasis (exclude peritoneal metastasis)