In the Querleu-Morrow surgical classification of radical hysterectomy, which category describes removal of the parametrium at its full lateral extent to the pelvic sidewall, with ligation of the uterine artery at its origin and division of the deep uterine vein?
- A Type C ✓
- B Type B
- C Type A
- D Type D1
Correct answer: A. Type C
Explanation
Type A, the conventional radical hysterectomy performed worldwide for Stage IB to IIA disease, entails resection of the parametrium to the pelvic wall, transecting the uterine artery at its origin and the deep uterine vein at the internal iliac system. Type C is extrafascial, Type B removes only medial parametrium preserving the deep uterine vein, and Type D adds paracervical and paravaginal tissue resection beyond the sidewall.
Reference: Berek and Hacker's Gynecologic Oncology, 7th ed.
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