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Surgical quality categories for staging of ovarian carcinomas (based on Trimbos et al. 2003) |
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| Category of surgical quality |
Staging procedures included |
| Optimal - |
Inspection and palpation of all peritoneal surfaces; biopsies of any suspect lesion for metastasis; peritoneal washings; infra-colic omentectomy; blind biopsies of the right diaphragm and right and left para-colic gutter, pelvic side-walls of the ovarian fossa, of the bladder peritoneum and of the cul-de-sac and sampling of iliac and para-aortic lymph nodes |
| Modified - |
Everything between optimal and minimal staging |
| Minimal - |
Inspection and palpation of all peritoneal surfaces and the retroperitoneal area; biopsies of any suspect lesions for metastasis; peritoneal washing; infracolic omentectomy |
| Inadequate - |
Less than minimal staging but at least careful inspection and palpation of all peritoneal surfaces and the retroperitoneal area; biopsies of any suspect lesion for metastasis |
Münstedt and Franke World Journal of Surgical Oncology 2004 2:32 doi:10.1186/1477-7819-2-32 |
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