According to FIGO 2018 staging of cervical cancer, a patient with an 8 cm cervical tumour invading the lower third of vagina and confirmed lymph node metastasis on MRI is staged as:

• A Stage IIIA
• B Stage IIIB
• C Stage IVA
• D Stage IIIC1r ✓

Explanation

In FIGO 2018, Stage IIIC incorporates lymph node metastasis regardless of tumour size — a major change from 2009. IIIC1 = pelvic node involvement; IIIC2 = para-aortic node involvement. The suffixes 'r' and 'p' denote imaging (r = radiological) versus pathological (p) confirmation. Lower vaginal involvement would be IIIA, and parametrial extension to pelvic wall would be IIIB, but with confirmed pelvic lymph node metastasis, the patient is classified IIIC1r if confirmed by radiology. This staging shift was the most clinically significant change in FIGO 2018.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.