According to FIGO 2018 staging, isolated para-aortic lymph node metastasis in cervical cancer (without pelvic node involvement) is staged as:
- A Stage IIIB
- B Stage IIIC2 ✓
- C Stage IIIC1
- D Stage IVB
Correct answer: B. Stage IIIC2
Explanation
FIGO 2018 introduced Stage IIIC to denote lymph node metastasis. Stage IIIC1 indicates pelvic node involvement only, while Stage IIIC2 indicates para-aortic node involvement, regardless of tumor size or extent. This subdivision reflects the prognostic difference: para-aortic involvement carries worse prognosis. Stage IVB denotes distant metastasis beyond the para-aortic region.
Reference: FIGO Committee on Gynecologic Oncology: Revised FIGO staging for carcinoma of the vulva, cervix, and endometrium, 2018 ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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