According to FIGO 2018 staging of cervical carcinoma, a patient has a 5 cm cervical tumor with parametrial invasion confirmed on MRI but without pelvic sidewall involvement and no lymph node metastasis on imaging. What is the correct FIGO stage?
- A Stage IIIB
- B Stage IIIC1
- C Stage IIB ✓
- D Stage IVA
Correct answer: C. Stage IIB
Explanation
FIGO 2018 cervical cancer staging: Stage IIB = parametrial invasion without extension to the pelvic sidewall. Stage IIIB = extension to pelvic sidewall or causing hydronephrosis/non-functioning kidney. Stage IIIC1 = pelvic lymph node metastasis (regardless of tumor size). This patient has parametrial invasion confirmed on MRI (now allowed in FIGO 2018) without sidewall involvement and no lymph node metastasis, placing her in Stage IIB.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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