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 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.