症例 challenge · Imaging / Gynecologic oncology / MRI · teaching

Cervical Cancer MRI Staging (FIGO 2018) · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on FIGO 2018

Case #1Imaging / Gynecologic oncology / MRI

📋 Case data

MRI local stagingConfined to cervix/upper 2/3 vagina, intact stromal ring, no parametrium

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · MRI local staging

MRI local staging: parametrial invasion / size / extension / nodes?

💡 FIGO 2018 incorporates imaging and pathology; MRI is preferred for local staging (tumor size, depth of stromal invasion, parametrium/vagina/pelvic wall, hydronephrosis, bladder/rectum). Key sign: an intact T2-dark cervical stromal ring = no parametrial invasion; ring disruption/strands = parametrial invasion (→ IIB) (oblique axial best). Nodes assessed by MRI/PET-CT, positive = IIIC. Beware post-biopsy edema/large tumor causing overstaging.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.