Which of the following correctly describes the Wertheim's radical hysterectomy for cervical carcinoma?
- A Removal of the uterus, cervix, upper one-third of vagina, parametria, and pelvic lymph nodes ✓
- B Removal of the uterus and cervix with preservation of ovaries and pelvic lymph nodes
- C Total exenteration including bladder, rectum, uterus, and vagina
- D Removal of the uterus, cervix, and bilateral salpingo-oophorectomy only
Correct answer: A. Removal of the uterus, cervix, upper one-third of vagina, parametria, and pelvic lymph nodes
Explanation
Wertheim's radical hysterectomy (Type III Querleu-Morrow classification) involves removal of the uterus, cervix, upper one-third of the vagina, cardinal ligaments (parametria) to the pelvic wall, and bilateral pelvic lymph node dissection. The ovaries may be conserved in premenopausal women with squamous cell carcinoma. Total exenteration is reserved for central recurrence. Simple hysterectomy does not include parametria or lymph nodes.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
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