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Irregular circumferential thickening of the cervical wall extends downward to involve the vagina with infiltration of the parametrium and few left side pelvic lymphadenopathies. There is also infiltration of the posterior wall of the urinary bladder and dilatation of the left ureter and hydronephrosis. The left kidney shows nephropathic changes.
Diagnosis: Cervical squamous cell carcinoma (pathology proved) T4N1M0 or FIGO IVa