A 28-year-old woman is diagnosed with FIGO Stage II gestational trophoblastic neoplasia (GTN). According to current FIGO classification, Stage II GTN refers to:
- A GTN with pulmonary metastases only
- B GTN confined to genitalia (vagina, vulva, broad ligament) ✓
- C GTN extending to all other metastatic sites
- D GTN with brain or liver metastases
Correct answer: B. GTN confined to genitalia (vagina, vulva, broad ligament)
Explanation
FIGO anatomical staging of GTN: Stage I = confined to uterus; Stage II = GTN extends to genital structures (vagina, vulva, broad ligament, adnexa) but not beyond genital tract; Stage III = GTN extends to lungs with or without genital tract involvement; Stage IV = all other metastatic sites (brain, liver, kidney, GI). Pulmonary involvement is Stage III; brain/liver is Stage IV.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.