A 45-year-old woman is found on examination to have a cervical tumor confined to the cervix measuring 4.5 cm in greatest dimension. There is no parametrial involvement and no pelvic wall extension. MRI confirms no lymph node enlargement. According to FIGO 2018 staging, this is:
- A Stage IB1
- B Stage IB2
- C Stage IB3 ✓
- D Stage IIA1
Correct answer: C. Stage IB3
Explanation
FIGO 2018 revised cervical cancer staging: IB1 is tumor >5 mm depth and ≤2 cm; IB2 is >2 cm and ≤4 cm; IB3 is >4 cm, all confined to the cervix. This tumor at 4.5 cm confined to cervix is Stage IB3. FIGO 2018 also allows lymph node imaging for staging, unlike the purely clinical FIGO 2009 system.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.