A 55-year-old woman is diagnosed with invasive cervical carcinoma by cone biopsy. Pelvic examination and rectal examination reveal the parametrium is free of disease but upper part of vagina is involved with tumor .IVP and sigmoidoscopy are negative but CT S can of abdomen and pelvis shows grossly enlarged pelvic and para aortic nodes. Thus patient is classified as stage.

Now here — in this patient On examination — Parametrium is not involved and upper part of vagina is involved so stage will be IIa — clinically. Remember cervical cancer is still staged clinically by using investigations recommended by FIGO. CT scan results, while clinically useful are not useful to stage the disease. No matter whatever finding are reported on CT scan it does not after the staging so Answer remains is Stage 11a.