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True/False MCQ · Cervical Cancer and Screening

Concerning the staging and treatment of cervical carcinoma, the following statements are correct:

Decide whether each statement is true or false.

  1. AFIGO staging of cervical cancer is primarily surgico-pathological
  2. BFIGO staging of cervical cancer is primarily clinical
  3. CStage IIIB disease is best treated by radical hysterectomy
  4. DEarly-stage disease (I-IIA) can be treated surgically
  5. 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
StageTreatment
0/IACone biopsy or simple hysterectomy
IB-IIARadical hysterectomy + node dissection (or chemoradiation)
IIB-IVChemoradiation
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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