A 42-year-old woman is found to have cervical squamous cell carcinoma on biopsy. MRI shows a 4.5 cm tumour invading the parametrium on the left side but not reaching the pelvic sidewall. There is no hydronephrosis and no distant metastases. FIGO 2018 stage is:
- A Stage IIIA
- B Stage IIB ✓
- C Stage IIIB
- D Stage IVA
Correct answer: B. Stage IIB
Explanation
FIGO 2018: Stage IIB = parametrial invasion without reaching the pelvic sidewall. Stage IIIA = involvement of lower third of vagina. Stage IIIB = pelvic sidewall extension or hydronephrosis/non-functioning kidney. Stage IVA = bladder/rectal involvement. This tumour invades the parametrium but not to the sidewall and has no hydronephrosis, fitting Stage IIB.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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