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Spread of cervical cancer

Authoring team

Local spread:

  • vagina, bladder, bowel, transverse cervical ligaments, arteries, uterus

Lymphatics:

  • outwards in the pelvic fascia to internal iliac nodes, then to common iliac nodes, and para-aortic nodes

Haematogenous - relatively uncommon; the patient often dies from the effects of local invasion before metastases to distant sites are clinically apparent:

  • principally, to the lung, bone, and brain

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