Gynaecological Oncology · NEET PG Preparation Obstetrics & Gynaecology

A 35-year-old woman presents with persistent foul-smelling vaginal discharge and post-coital bleeding. Examination reveals an exophytic growth on the…

Practice question from Gynaecological Oncology (NEET PG Preparation Obstetrics & Gynaecology), with the correct answer and a step-by-step solution.

medium · MCQ · Q-84EB56

A 35-year-old woman presents with persistent foul-smelling vaginal discharge and post-coital bleeding. Examination reveals an exophytic growth on the cervix measuring 3 cm in greatest dimension, involving the cervix without extension to the lower third of the vagina or pelvic sidewall. There is no hydronephrosis on imaging. What is the correct FIGO stage for this cervical cancer?

  1. A.Stage IB1
  2. B.Stage IB2Correct answer
  3. C.Stage IB3
  4. D.Stage IIA1

Solution

According to the 2018 FIGO staging for cervical cancer, Stage I is confined to the cervix. Stage IB is divided into: IB1 (tumour ≥\ge 2 cm and <4< 4 cm), IB2 (tumour ≥\ge 4 cm), and IB3 (tumour ≥\ge 4 cm). Wait, let's re-verify: IB1 is ≥\ge 5 mm depth and <2< 2 cm; IB2 is ≥\ge 2 cm and <4< 4 cm; IB3 is ≥\ge 4 cm. Since the tumour measures 3 cm, it falls into Stage IB2.

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