A 44-year-old woman has a 3 cm cervical squamous cell carcinoma extending to involve the upper third of the anterior vaginal wall. Pelvic examination shows no parametrial thickening, and imaging reveals no lymphadenopathy. According to FIGO 2018 staging, her disease is staged as:

• A Stage IB2
• B Stage IIIA
• C Stage IIB
• D Stage IIA1 ✓

Explanation

Stage II denotes tumour invading beyond the uterus but not reaching the pelvic wall or lower third of vagina. Upper vaginal involvement without parametrial invasion is IIA, subdivided by size into IIA1 (4 cm or less) and IIA2 (more than 4 cm). At 3 cm she is IIA1. Stage IIIA requires invasion of the lower third of vagina, and Stage IIB requires parametrial involvement, both absent here.

Reference: Berek and Hacker's Gynecologic Oncology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.