False statement about treatment of Ca cervix:a) Radiotherapy is helpful in all stagesb) Prognosis of surgery good if done in early stagesc) When Radiotherapy is given, para aortic LN’s should be includedd) Chemotherapy is reserved for late stagese) From stage Ib onwards same prognosis with surgery and RT

**Core Concept**
Radiotherapy and surgery play crucial roles in the treatment of cervical cancer (Ca cervix), with chemotherapy often used in combination for advanced stages. The management of cervical cancer is tailored to the stage and patient's overall health.

**Why the Correct Answer is Right**
The statement that "When Radiotherapy is given, para aortic LN's should be included" is a false statement. In cervical cancer, radiotherapy is typically used to target the primary tumor and the pelvic lymph nodes. However, the para-aortic lymph nodes are only included in the radiation field for stages IIIB or more advanced disease. This is because the para-aortic lymph nodes are not typically involved in early-stage cervical cancer.

**Why Each Wrong Option is Incorrect**
**Option A:** Radiotherapy is indeed helpful in stages II and III, but not always in stage I due to the potential for surgical cure in early stages. However, even in early stages, radiotherapy may be used in certain cases, such as in patients with high-risk features or those who are not good surgical candidates.

**Option B:** The prognosis of surgery is indeed good if done in early stages. Early-stage cervical cancer can often be cured with surgery, especially in patients with stage IA or IB disease.

**Option D:** Chemotherapy is not reserved for late stages alone. In cervical cancer, chemotherapy is often used in combination with radiotherapy (chemoradiation) for advanced stages (IIIB or IV) or in patients with recurrent disease.

**Option E:** While surgery and radiotherapy can have similar outcomes in early-stage cervical cancer (from stage Ib onwards), this is not universally true. The prognosis with surgery versus radiotherapy can depend on various factors, including the patient's overall health and the specific characteristics of the tumor.

**Clinical Pearl / High-Yield Fact**
It's essential to remember that the management of cervical cancer is highly individualized and depends on various factors, including the stage, patient's overall health, and tumor characteristics.

**Correct Answer: C.**