Page 5 - Ovarian cancer surgery - Guidelines (early stages)
P. 5
REPORT
Country: Date of Surgery:
Date of birth:
Type of Tumor: Skin Aim of Surgery:
ase select: Pleura Lung Extra abdominal lymph nodes
er sites: Pf Status-ECOG
Type of procedure:
ection Diagnosis:
volvement Liver parenchymal Celiac nodes
mall bowel mesentery
rge bowel mesentery Lesser omentum Abdominal wall
araaortic nodes Stomach Skin
ght diaphragm Pancreas Pericardiophrenic nodes
eft diaphragm Spleen Inguinal nodes
ver surface Hepatic hilum nodes Specify other:
POST + R+ R0
0 Interaortocava/preaort.
1 Porta Hepatis
2 Celiac Axis
3 Suprarenal/Splenic
4 Left aortic
5 Left common iliac
6 Left ext iliac
7 Left inguinal
8 Right inguinal
9 Right ext iliac
10 Right common iliac
11 Pre-Paracava
12 Right cardio phrenic
13 Left cardio phrenic
RETROPERITONEAL DISEASE +: Suspicious or Positive
R+: Residual disease
R0: No residual disease
