Cervical lymph node metastasis from a remote primary tumour site-A Diagnostic conundrum-Letter to Editor

Cervical cancer is the most common genital tract malignancy among women, accounting for many deaths in developing countries like India. . Most of metastasis to neck nodes arise from primary tumors head andneck. 54 year old multiparous postmenopausal woman with a lump left side her neck. Ultrasound revealed multiple enlarged hypoechoic lymphnodes, FNAC showed carcinomatous deposits nodes. no pallor, icterus or pedal edema. PAP smear atypical cells arranged predominantly clusters, few singly scaterred and occasional ones vague acinar pattern. have round oval nucleus, increase nuclear cytoplasic ration, hyperchroatic nuclei, irregular borders, overlapping moderate amount cytoplasm tumour diasthesis which was interpretated as adenocarcinoma. The prognosis metastatic carcinoma cervix poor metastases signals grave prognosis.