A 42-year-old woman undergoes examination under anaesthesia for cervical carcinoma. The tumour is 5 cm, extends onto the right parametrium without reaching the pelvic side wall. Cystoscopy and proctoscopy are negative. According to FIGO 2018 clinical staging, what stage is this?
- A FIGO Stage IIIA
- B FIGO Stage IIB ✓
- C FIGO Stage IIA2
- D FIGO Stage IIIC1r
Correct answer: B. FIGO Stage IIB
Explanation
FIGO 2018: Stage IIB = involvement of parametrial tissue but not reaching the pelvic side wall. Stage IIIA = extension to the lower third of vagina. Stage IIA2 = >4 cm tumour involving upper two-thirds of vagina without parametrial involvement. Stage IIIC1r = pelvic node metastasis on imaging. This patient has parametrial involvement not reaching the side wall — FIGO IIB. The tumour size of 5 cm does not upstage from IIB.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.