A patient with cervical cancer has disease extending to the pelvic sidewall with right hydronephrosis but no distant metastases. According to FIGO 2018 staging, this is classified as:
- A Stage IIIB ✓
- B Stage IIIA
- C Stage IIIC1r
- D Stage IVA
Correct answer: A. Stage IIIB
Explanation
FIGO 2018 cervical cancer staging: Stage IIIA — tumour involves the lower third of vagina; Stage IIIB — tumour extends to pelvic sidewall and/or causes hydronephrosis or non-functioning kidney; Stage IIIC1r — pelvic lymph node metastasis detected radiologically; Stage IIIC2r — paraaortic lymph node involvement. Pelvic sidewall extension with hydronephrosis is the classic hallmark of Stage IIIB. The suffix 'r' (radiological) or 'p' (pathological) is added in FIGO 2018 for Stage IIIC.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.