Gynaecology & Obstetrics

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 pa of vagina is involved with tumor.IVP and sigmoidoscopy are negative but CT Scan of abdomen and pelvis shows grossly enlarged pelvic and para aoic nodes. Thus patient is classified as stage: