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Apart from local spread, the disease spreads to the pelvic and imaging, associated lytic areas in calvarium on CECT with
para-aortic lymph nodes and then by hematogenous route to multiplicity can give a clue to metastatic nature of disease.
the supra and infradiaphragmatic viscera. About 5-35% In our patient, the disease was detected at an advanced
[2]
eventually develops pulmonary metastases, [3,4] 3% develops stage as the presenting symptom itself was metastases to
liver metastases, 16% develops bone metastases. [4] vertebrae presenting as neck pain she had no symptoms
[5]
relating to carcinoma cervix until later.
Skeletal metastasis in carcinoma cervix occurs in about
0.8-23% of cases. Bone metastases can be due to Financial support and sponsorship
[1]
local extension, however, distant metastases are due to Nil.
hematogenous dissemination. These lesions are usually
radiographically lytic, and patients have recurrent or Conflicts of interest
advanced disease with other sites of metastases. The There are no conflicts of interest.
[6]
metastatic sites are commonly the spine, followed by pelvic
bones. Very few cases of metastases to the skull have been REFERENCES
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Journal of Cancer Metastasis and Treatment ¦ Volume 2 ¦ June 15, 2016 ¦