Note: Applies to ovarian primary tumor. If bilateral tumors of 2 different histologic types are present, separate checklists should be used for each tumor.



Lymph Node Sampling:

Primary Tumor Site:

Ovarian Surface Involvement:

Tumor Size:

Histologic Type:

Histologic Grade:

Extent of Involvement of Other Tissues/Organs:

Pathologic Staging (pTNM FIGO):

Primary Tumor (pT):

Regional Lymph Nodes (pN):

Note: If pleural effusion is present, there must be a positive cytology for a stage IV designation. Parenchymal liver metastasis is classified as stage IV disease, whereas liver capsule metastasis is classified as stage III disease.