A 45-year-old woman presents with a complex left adnexal mass, ascites, and CA-125 of 380 U/mL. CT scan shows bilateral adnexal masses with peritoneal studding and omental cake. Which FIGO 2014 stage best fits this presentation?
- A Stage IIIA1
- B Stage IIIC ✓
- C Stage IIIB
- D Stage IVA
Correct answer: B. Stage IIIC
Explanation
FIGO 2014 Stage IIIC denotes peritoneal metastases beyond the pelvis exceeding 2 cm in greatest dimension, including omental involvement. Omental cake (omental infiltration > 2 cm) combined with peritoneal studding qualifies as Stage IIIC. Stage IIIA1 is retroperitoneal lymph node metastasis only; IIIB is peritoneal disease ≤ 2 cm; IVA requires pleural effusion with positive cytology.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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