True/False MCQ · Cervical Cancer and Screening
Concerning the staging and treatment of cervical carcinoma, the following statements are correct:
- AFIGO staging of cervical cancer is primarily surgico-pathological
- BFIGO staging of cervical cancer is primarily clinical
- CStage IIIB disease is best treated by radical hysterectomy
- DEarly-stage disease (I-IIA) can be treated surgically
- EAdvanced disease (IIB and beyond) is treated with chemoradiation
Show answers and explanation
- A. False: Cervical cancer is staged clinically, not surgico-pathologically (unlike endometrial/ovarian cancer).
- B. True
- C. False: Stage IIIB is treated by chemoradiation, not radical hysterectomy.
- D. True
- E. True
Staging and treatment
Staging
Cervical cancer is staged clinically (FIGO) - examination under anaesthesia, speculum inspection and palpation, with imaging (chest X-ray, ultrasound, MRI) for distant disease. (This contrasts with endometrial and ovarian cancers, which are surgico-pathologically staged.)
Stage-directed treatment
| Stage | Treatment |
|---|---|
| 0/IA | Cone biopsy or simple hysterectomy |
| IB-IIA | Radical hysterectomy + node dissection (or chemoradiation) |
| IIB-IV | Chemoradiation |
Why A is false
Cervical cancer is clinically, not surgico-pathologically, staged.
Why B is true
FIGO staging of cervical cancer is primarily clinical.
Why C is false
Stage IIIB is treated by chemoradiation, not radical hysterectomy.
Why D is true
Early-stage disease (I-IIA) can be treated surgically.
Why E is true
Advanced disease (IIB+) is treated with chemoradiation.
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