Abstract
We report a 51-years-old female with mediastinal and axillary lymphadenopathy, who presented with obstructive bronchial symptoms. The patient had a history of squamous cell carcinoma cervix uteri stage Ilb with right and left hypogastric lymph nodes metastasis postoperation and radiotherapy. She presented with persistent cough, shortness of breath and marked diffused wheezing on auscultation .The pulmonary function test revealed moderate obstructive ventilatory impairment. Chest computed tomography examination of the widening of the right upper mediastinum revealed multiple lymph nodes at the right paratrachea, retrocaval, precarina, and subcarinal region and left axillary fossa. Pathology of the left axillary lymphadenopathy showed metastatic squamous cell carcinoma. Immunostaining results indicated metastatic squamous cell carcinoma, compatible with a uterine cervical origin. Chemotherapy with cisplatin and radiotherapy for the left bronchial obstruction was given. We review the literature and discuss the features of squamous cell carcinoma of the cervix with pulmonary metastasis.
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