This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Cervical Carcinoma, Subject name: Gynaecology & Obstetrics
A 50 year old patient presents with Stage III CA cervix, Management:- 
Select and explain. 
A. Radiotherapy, B. Radio+chemo, C. Surgery + chemo, D. Intrabrachial radiotherapy
B: Radio+chemo
Answer: B: Radio+chemo 
Explanation: All cancers in Gynecology are surgically staged However, Cervical cancer is clinically staged. Although modern radiographic modalities such as CT scan, MRI , ultrasound, or PET may be beneficial for individual treatment planning. Treatment of cervical cancer is based on stage of disease. In general, early stage disease , untill II A (tumour size less than 4 cm) can be treated with either radical surgery or radiation therapy. Advanced stage disease (>=IIB)) is best treated with chemoradiation.