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When Metastatic Cervical Cancer Presents as Miliary Lung Nodules.

Pooja Dewan1, Vikas Somani1, May Myat Mon1

  • 1Milton Keynes University Hospital , Milton Keynes, UK.

European Journal of Case Reports in Internal Medicine
|November 13, 2025
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Miliary lung nodules can signal advanced cervical cancer. This rare presentation highlights the importance of considering uncommon causes for lung nodules in cancer patients.

Keywords:
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Area of Science:

  • Oncology
  • Pulmonology
  • Pathology

Background:

  • Miliary lung nodules typically suggest infections like tuberculosis, sarcoidosis, or primary lung malignancy.
  • Metastatic disease can also cause miliary lung nodules, though less commonly.

Purpose of the Study:

  • To report a rare case of primary cervical cancer metastasizing to the lungs, presenting as miliary nodules.
  • To emphasize the broad differential diagnosis for miliary lung patterns.

Main Methods:

  • Case report of a patient with primary cervical squamous cell carcinoma.
  • Clinical presentation, diagnostic workup, and postmortem findings were reviewed.

Main Results:

  • The patient presented with acute respiratory distress, requiring extracorporeal membrane oxygenation.
  • Postmortem examination confirmed primary cervical squamous cell carcinoma with extensive lung metastasis presenting as miliary nodules.

Conclusions:

  • Cervical cancer can manifest with miliary lung nodules, a highly non-specific radiological finding.
  • A comprehensive differential diagnosis, including uncommon malignancies, is crucial for patients with miliary lung patterns.