Carcinoma cervix with cerebellar metastases presenting with pulmonary aspiration: a rare presentation and a rare metastatic site in a common cancer

What is it about?

Cervical cancer is a common disease in the developing world, managed well by chemoradiotherapy in a locally advanced stage. Rarely it spreads to the brain. When it spreads to the cerebellum, the presentation can be that of aspiration. Here we present a 52-year-old lady, a follow-up case of carcinoma cervix with cerebellar metastasis who presented with pulmonary aspiration and had no evidence of extracranial disease. She was managed with supportive treatment and given radiation therapy to the brain.

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Why is it important?

A high level of clinical suspicion and prompt imaging may help one to diagnose cancer that has spread to the brain, particularly in any follow-up patient of a known malignancy presenting with altered consciousness. Additionally, providing the best supportive care can ameliorate the patient's quality of life and help to cut costs.