A 52-year-old presents with post-coital bleeding for 6 months. Speculum examination shows a 3 cm friable lesion on the ectocervix. Biopsy confirms squamous cell carcinoma. Pelvic MRI shows no parametrial extension. CT chest/abdomen/pelvis is clear. What is the FIGO 2018 stage?
- A Stage IB2 ✓
- B Stage IIA1
- C Stage IIB
- D Stage IB3
Correct answer: A. Stage IB2
Explanation
Under FIGO 2018 staging for cervical cancer: Stage IB is confined to the cervix; IB1 is tumor >5 mm depth and ≤2 cm greatest dimension; IB2 is >2 cm but ≤4 cm; IB3 is >4 cm confined to cervix. A 3 cm lesion confined to the cervix (no parametrial extension, no upper vaginal involvement) is Stage IB2. Stage IIA involves upper two-thirds of vagina; IIB involves parametrium. The MRI confirming no parametrial extension rules out Stage II disease.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.