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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Cervical Cancer With Extensive Lymphatic Invasion Lead To Bone Metastases?

Hello,
I had an abnormal pap in 2004. I was considering a leep procedure but chose a hysterectomy because I also suffered from migraines and thought perhaps this would remedy the headaches. I was not planning on having any more children and had my tubes tied years prior so opted for a hysterectomy. Post-hysterectomy I was diagnosed with cervical cancer stage 1b with extensive lymphatic invasion. I had chemotherapy, (couldn't complete because I had a severe allergic reaction) memory is blurry but I believe I had 3 treatments. I completed the radiation treatments and had a cesium implant. I have had faithful paps since then and all have been negative. My concern is with the extensive lymphatic invasion and not having had a "radical" hysterectomy..what is the risk of metasis. I have been suffering from phantosmia (cigarette smoke odor) to the point that it gives me a headache for over two years. I've researched this condition and understand that it can be a symptom of a brain tumor. I also have chronic back pain. I guess my question boils down to: Could the cancer have spread considering the lymphatic invasion and if so...what are the most likely places for this type of cancer to metastasize to, bone?, brain?
Thu, 6 Feb 2014
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Oncologist 's  Response
Hi,
Thanx for the query .In Stage IB chances of extensive lymph node(i.e. outside pelvis) is 6-8%.IN early stage like IB after treatment chance of metastasis is very rare.It is more common with advanced disease like disease with extensive Lymphatic spread.Most common site of metastasis in those cases is lung( nearly 20% chance) .
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Can Cervical Cancer With Extensive Lymphatic Invasion Lead To Bone Metastases?

Hi, Thanx for the query .In Stage IB chances of extensive lymph node(i.e. outside pelvis) is 6-8%.IN early stage like IB after treatment chance of metastasis is very rare.It is more common with advanced disease like disease with extensive Lymphatic spread.Most common site of metastasis in those cases is lung( nearly 20% chance) .