70yrs old patient diagnosed with ovarian cancer. Surgical staging involving inguinal lymph nodes: (A) Stage IIIA, (B) Stage IIIB, (C) Stage IVA, (D) Stage IV B
Answer is D. Stage IV: distant metastasis excluding peritoneal metastasis. IVA: pleural effusion with positive cytology. IVB: hepatic and/ or splenic parenchyma metastasis, metastasis to extra abdominal organs (including inguinal lymph nodes and lymph nodes outside of the abdominal cavity) Reference: textbook of gynaecology Sheila balakrishnan, 2nd edition, pg no:277 <\p>