A 60-year-old woman presents with cervical cancer. Cystoscopy reveals bullous edema of the bladder mucosa but no frank tumor invasion. Biopsy of the bladder mucosa shows no malignant cells. According to FIGO 2018, this is staged as:

• A Stage IIIA
• B Stage IVB
• C Stage IVA
• D Stage IIIB ✓

Explanation

Bullous edema of the bladder mucosa without histologically confirmed malignant invasion does NOT qualify for Stage IVA. Stage IVA requires biopsy-proven malignant involvement of the bladder or rectal mucosa. Without mucosal invasion, the staging is determined by other disease parameters. If the tumor extends to the pelvic wall or causes hydronephrosis, it is Stage IIIB. Bullous edema alone does not upstage to IVA.

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

Written and medically reviewed by the StethoPrep medical team.