According to the 2018 FIGO staging of cervical carcinoma, a tumor with bladder mucosal involvement demonstrated on cystoscopy is staged as:

• A Stage IIIB
• B Stage IVB
• C Stage IIIC2
• D Stage IVA ✓

Explanation

In FIGO 2018 staging, Stage IVA is defined as extension to adjacent pelvic organs — specifically, involvement of the mucosa of the bladder or rectum (confirmed by biopsy/histology). Stage IIIB = parametrial involvement up to pelvic sidewall or hydronephrosis. Stage IIIC2 = para-aortic lymph node metastasis on imaging or pathology. Stage IVB = distant metastases beyond the pelvis. Bullous edema alone is insufficient for IVA staging; mucosal involvement is required.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.