<prompt> Ca ovary with left supraclavicular LN, stage is-IVIIIHI  <response>: Ans-A i.e., IV TNM and FIGO Classifications for Ovarian CancerPrimary tumor T TNMFIGO TX Primary tumor cannot be assessedT0 No evidence of primary tumorTlITumor limited to the ovaries 1 or bothTlaIATumor limited to 1 ovary; capsule intact, no tumor on ovarian surface; no malignant cells in ascites or peritoneal washingsT1bIBTumor limited to both ovaries; capsules intact, no tumor on ovarian surface; no malignant cells in ascites or peritoneal washingsT1c1CTumor limited to I or both ovaries with any of the following: capsule ruptured, tumor on ovarian surface, malignant cells in ascites or peritoneal washingsT2IITumor involves 1 or both ovaries with pelvic extensionT2aIIAExtension andor implants on the uterus andor tubes; no malignant cells in ascites or peritoneal washingsT2bIIBExtension to other pelvic tissues; no malignant cells in ascites or peritoneal washingsT2cIICPelvic extension T2a or T2b with malignant cells in ascites or peritoneal washingsT3IIITumor involves l or both ovaries with microscopically confirmed peritoneal metastasis outside the pelvisT3aIIIAMicroscopic peritoneal metastasis beyond the pelvis no macroscopic tumorT3bIIIBMacroscopic peritoneal metastasis beyond the pelvis 2 cm or less in greatest dimensionT3cmeMacroscopic peritoneal metastasis beyond the pelvis 2 cm in greatest dimension andor regional lymph node metastasisRegional lymph nodes NTNMFIGO NX Regional lymph nodes cannot be assessedN0 No regional lymph node metastasisN1IIICRegional lymph node metastasisDistant metastasis MTNMFIGO MO No distant metastasisMlIVDistant metastasis excludes peritoneal metastasisNotes:o The presence of nonmalignant ascites is not classified. The presence of ascites does not affect staging unless malignant cells are present.o Liver capsule metastasis is T3stage III; liver parenchyma metastasis, Mlstage IV. Pleural effusion must have positive cytology for Mlstage IV 