Spread of cervical cancer
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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