A 55-year-old woman presents with intermenstrual bleeding for 6 months. Examination reveals a barrel-shaped cervix with a hard, irregular mass replacing the cervical stroma and extending to both parametria, with blurring of the fat planes on MRI. No hydronephrosis is seen. Biopsy shows squamous cell carcinoma. According to FIGO 2018 staging, what is the correct stage?

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

Explanation

Parametrial involvement without extension to the pelvic wall or hydronephrosis is Stage IIB. Stage IIIB requires extension to the pelvic wall or hydronephrosis. Stage IIIA involves the lower third of the vagina. Stage IVA invades bladder or rectal mucosa. The barrel-shaped cervix with parametrial extension is classic for Stage IIB.

Reference: Williams Gynecology, 4th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.