This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Management (Carcinoma Cervix), Subject name: Gynaecology & Obstetrics
Treatment of stage IIIB in Ca cervix is- 
Select and explain. 
A. Wertheim's hysterectomy, B. Mitra operation, C. Chemoradiation, D. Primary radiotherapy
C: Chemoradiation
Answer: C: Chemoradiation 
Explanation: Ans. is 'c' i.e., Chemoradiation Stagewise management of carcinoma cervixStage IA1 & Ca in situo Young female - conizationo Old female - simple hysterectomy (TAH+BSO)Stage IA1-IIAo Surgery - Wertheim's / radical hysterectomyo in stage 1A2 & IB 1, in young female radical hysterectomy can be doneStage IB2& IIo Chemoradiation & surgery are equivalent. After surgery if risk factors are present, radiation is needed.Stage IIB -1VAo ChemoradiationStage IVBo Chemotherapy - cisplatin alone or in combination with local irradiationAdenocarcinoma in situo Hysterectomy is the treatment of choiceo Diagnostic excisional procedures can be performed in women want to preserve their reproductive function. Endocervical curettage should be done at the time of resection.