Question 2795
{"accessible":false,"alternatives":[{"id":13640,"text":"chemoradiotherapy"},{"id":13641,"text":"chemotherapy alone"},{"id":13637,"text":"conisation"},{"id":13638,"text":"trachelectomy"},{"id":13639,"text":"hysterectomy"}],"archived":false,"correctAlternativeId":13640,"explanation":"\u003cp\u003eThe stem gives sufficient information to be able to stage this tumor as a FIGO stage IIB cervical cancer. With this knowledge, the optimal management would be chemoradiotherapy as this carries the best prognosis for the patient. Stage IIA cancers (no parametrial involvement) are instead managed surgically, typically with a hysterectomy.\u003c/p\u003e","id":2795,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2795","nextQuestionPath":"/articles/cervical-cancer-staging-1/questions/2794","relatedArticles":[{"id":9052,"title":"FIGO staging system","link":"/articles/figo-staging-system?lang=us"}],"alsoUsedIn":[{"id":1728,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1728","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1728"},{"id":365,"kind":"LiveSchedule","title":"365","link":"https://radiopaedia.org/admin/live_schedules/365"},{"id":284,"kind":"LiveSchedule","title":"284","link":"https://radiopaedia.org/admin/live_schedules/284"},{"id":1493,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1493","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1493"},{"id":1493,"kind":"Course","title":"Obstetrics \u0026 Gynaecology Lectures - page 1493","link":"https://radiopaedia.org/courses/obgyn-lectures/pages/1493"}],"stem":"\u003cp\u003eA 42-year-old female presents for local staging of biopsy-proven cervical adenocarcinoma. MRI shows a barrel-shaped lesion in the cervix that breaches the cervical stromal ring and extends into the parametrium. There is no extension to the pelvic side wall and there are no suspicious nodes on imaging. What is the most likely management pathway?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2795"}],"attemptsPercentages":[{"alternativeId":"13638","percentage":7},{"alternativeId":"13639","percentage":8},{"alternativeId":"13640","percentage":79},{"alternativeId":"13641","percentage":3},{"alternativeId":"13637","percentage":4}],"promptToLogin":false,"questionManager":false,"articleId":"cervical-cancer-staging"}