Question:medium
Cervical cancer with hydronephrosis belongs to which FIGO stage?
Cervical cancer with hydronephrosis belongs to which FIGO stage?
Show Hint
Cervical cancer with hydronephrosis = FIGO stage IIIB.
Updated On: May 14, 2026
- IIA
- IIIA
- IIIB
- IV
Show Solution
The Correct Option is C
Solution and Explanation
Step 1: Understanding the Question:
The question asks for the FIGO staging of cervical carcinoma based on the involvement of the urinary system (ureters).
Step 2: Detailed Explanation:
FIGO Staging Overview: Cervical cancer is staged clinically, though imaging (like USG, CT, or MRI) is now incorporated into the 2018 FIGO guidelines.
Stage III Definition: This stage involves the lower third of the vagina and/or extends to the pelvic side wall.
Criteria for Stage IIIB: Specifically, a tumor is staged as IIIB if it extends to the pelvic sidewall AND/OR causes hydronephrosis or a non-functioning kidney.
Anatomy of Spread: Hydronephrosis in cervical cancer usually indicates that the tumor has invaded the parametrium all the way to the pelvic wall, compressing the ureter where it passes through the cardinal ligament.
Other Stages: Stage IIIA involves the lower third of the vagina but not the pelvic wall. Stage IIIB signifies more lateral extension. Stage IV involves distant metastasis or invasion into the mucosa of the bladder or rectum.
Step 3: Final Answer:
According to FIGO criteria, the presence of hydronephrosis in cervical cancer automatically classifies the disease as Stage IIIB.
The question asks for the FIGO staging of cervical carcinoma based on the involvement of the urinary system (ureters).
Step 2: Detailed Explanation:
FIGO Staging Overview: Cervical cancer is staged clinically, though imaging (like USG, CT, or MRI) is now incorporated into the 2018 FIGO guidelines.
Stage III Definition: This stage involves the lower third of the vagina and/or extends to the pelvic side wall.
Criteria for Stage IIIB: Specifically, a tumor is staged as IIIB if it extends to the pelvic sidewall AND/OR causes hydronephrosis or a non-functioning kidney.
Anatomy of Spread: Hydronephrosis in cervical cancer usually indicates that the tumor has invaded the parametrium all the way to the pelvic wall, compressing the ureter where it passes through the cardinal ligament.
Other Stages: Stage IIIA involves the lower third of the vagina but not the pelvic wall. Stage IIIB signifies more lateral extension. Stage IV involves distant metastasis or invasion into the mucosa of the bladder or rectum.
Step 3: Final Answer:
According to FIGO criteria, the presence of hydronephrosis in cervical cancer automatically classifies the disease as Stage IIIB.
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