When Metastatic Cervical Cancer Presents as Miliary Lung Nodules

Miliary lung nodules are usually associated with tuberculosis, sarcoidosis, or malignancy. Here we present a case of primary cervical cancer with metastasis to the lungs. The patient presented a short history of shortness of breath which worsened rapidly after admission and required extracorporeal membrane oxygenation. She died 25 days after initial presentation. Postmortem diagnosis was primary cervical squamous cell carcinoma with metastasis to the lungs. This case report emphasizes the need to work with a broad range of differentials including uncommon presentations for miliary lung nodules.

Cervical cancer can present as metastasis to the lungs manifesting radiologically as miliary lung nodules.A miliary pattern of lung nodules is highly non-specific, and a wide range of differentials need to be considered including infection, inflammation and malignancy.