This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Gynaecological oncology, Subject name: Gynaecology & Obstetrics
All are signs of inoperability of carcinoma of cervix except 
Select and explain. 
A. Carcinoma of cervix extending toParametrium, B. Presence of extrapelvic metastasis, C. Involvement of bladder, D. Extensive infiltration of vagina
A: Carcinoma of cervix extending toParametrium
Answer: A: Carcinoma of cervix extending toParametrium 
Explanation: Contraindications of Pelvic Exenteration Extra pelvic spread of the disease with distant metastasis to lungs, liver and bones Women with comorbid conditions Urethral obstruction, Sciatic pain, Unilateral leg edema Ref: D.C.DUTTA&;S TEXTBOOK OF GYNECOLOGY; 6th edition; Pg no:349