Under the FIGO 2018 revised staging for cervical carcinoma, which of the following findings assigns a patient to Stage IVB?

• A Para-aortic lymph node metastasis
• B Common iliac lymph node metastasis
• C Pelvic sidewall lymph node metastasis
• D Supraclavicular lymph node metastasis ✓

Explanation

FIGO 2018 defines regional lymph nodes as pelvic, parametrial, common iliac and para-aortic nodes, all staged as IIIC regardless of size. Involvement of inguinal or supraclavicular nodes constitutes distant metastasis and therefore Stage IVB. Para-aortic and common iliac nodal disease, though ominous, remain within the regional basin and stage as IIIC2, which kills those distractors.

Reference: Novak's Gynecology, 16th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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