Gynaecological oncology: FIGO 2018 nodal staging: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

OBG · Gynaecological oncology: FIGO 2018 nodal staging

Sample item

A 2 cm cervical carcinoma confined to the cervix is found to have a metastatic pelvic lymph node on imaging. According to FIGO 2018, how is it staged?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Stage IIIC1

FIGO 2018 incorporates nodal status: any nodal metastasis makes the stage IIIC irrespective of tumour size, with IIIC1 for pelvic nodes and IIIC2 for para-aortic nodes. The suffix r indicates that the finding was based on imaging and p on pathology. Treatment is chemoradiation.

Option by option

  • A. Stage IIB

    Stage IIB refers to parametrial invasion.

  • B. Stage IB1

    Stage IB1 requires node-negative disease.

  • C. Stage IVB

    Stage IVB is distant metastasis.

  • D. Stage IIIC1 (correct)

    Correct. Pelvic nodal metastasis is stage IIIC1.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Stage IIIC1. FIGO 2018 incorporates nodal status: any nodal metastasis makes the stage IIIC irrespective of tumour size, with IIIC1 for pelvic nodes and IIIC2 for para-aortic nodes.

Why is "Stage IIB" not the answer?

Stage IIB refers to parametrial invasion.

Why is "Stage IB1" not the answer?

Stage IB1 requires node-negative disease.

Why is "Stage IVB" not the answer?

Stage IVB is distant metastasis.

What concept does this question test?

It tests Gynaecological oncology: FIGO 2018 nodal staging in OBG. The suffix r indicates that the finding was based on imaging and p on pathology. Treatment is chemoradiation.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gynaecological oncology: FIGO 2018 nodal staging?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.