Obstetrics & Gynaecology · Cervical Carcinoma (Risk Factors, Staging, Treatment)

According to the FIGO 2018 staging of cervical carcinoma, parametrial involvement confirmed by MRI or histopathology (without pelvic sidewall involvement or hydronephrosis) is classified as:

  • A Stage IB3
  • B Stage IIA2
  • C Stage IIB
  • D Stage IIIB
Correct answer: C. Stage IIB

Explanation

FIGO 2018 revised cervical cancer staging allows radiological and pathological findings to assign stage. Parametrial involvement (without extension to the pelvic sidewall) is Stage IIB, regardless of how it is determined (clinical examination, MRI, or histopathology). Stage IIIB is when tumor extends to the pelvic sidewall or causes hydronephrosis/non-functioning kidney. Stage IIA involves the upper two-thirds of the vagina without parametrial involvement.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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