![]() The availability of multimodal treatment strategies and compliance with surveillance after treatment has led to better management of the disease with longer overall survival. In addition, all patients who undergo curative therapy need periodic surveillance for disease progression or recurrence. The management of cervical cancer involves multimodal treatment strategies, including chemotherapy, local radiation therapy and surgery. The incidence of cervical cancer is highest in low- and middle-income countries and in medically underserved populations in more prosperous countries. Check-point inhibitors like pembrolizumab can be used in metastatic cervical cancer.ĭysphagia, cervical cancer, metastasis, mediastinal lymph node, oesophagusĬervical cancer, although a largely preventable cancer with the human papillomavirus (HPV) vaccine, continues to impact women worldwide. ![]() The VEGF inhibitor bevacizumab can be used in advanced metastatic cervical cancer.A PEG tube is helpful in relieving dysphagia caused by metastatic mediastinal lymph node enlargement and as bridge for nutrition during chemotherapy.Mediastinal lymph node enlargement causing dysphagia can be a presenting sign of a metastatic lesion from treated cervical cancer.Following interventions, the patient's condition gradually improved, both clinically and radiographically. ![]() After a thorough investigation that included endoscopy, endoscopy with ultrasound, an oesophagogram and fine needle aspiration, we eventually reached the diagnosis of mediastinal metastatic cervical cancer. To highlight an uncommon severe manifestation of cervical cancer relapse, we describe a case of dysphagia in a woman with a history of cervical cancer. ![]() Cervical cancer metastasis is distinctive in that it usually involves local lymph node invasion however, approximately 1% of cases have mediastinal involvement, which can cause severe compressive symptoms in rare situations. Dysphagia has a broad aetiology and so it is essential to identify the precise cause. ![]()
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