Respiratory failure and tracheoesophageal fistula due to mediastinal metastasis from cervical cancer: case report

Pari-Salas J.C. · Gaceta Mexicana de Oncologia (2025) · DOI: 10.24875/j.gamo.24000030

Resumen

Cervical cancer is relatively frequent in the world and Perú. Mediastinal metastasis is a rare occurrence, with few descriptions in the literature. We present the case of a woman with cervical cancer FIGO IVA, treated with curative intention, who developed dysphonia and dysphagia; she received external beam radiation therapy. Months later, she developed paraaortic node progression and severe dysphagia, resulting in a tracheoesophageal fistula, which caused aspiration pneumonia, sepsis, and death. Infrequent metastatic sites should be taken into account in the workup and treatment of systemic progression of cervical cancer. Proper treatment leads to clinic relief and impacts on quality of life.

Instituciones: Universidad Católica de Santa María