Juan C. Pari-Salas, Academic Department of Medicine, School of Medicine, Area of Human Anatomy, Universidad Católica de Santa María; Department of Oncology and Radiation Therapy, Radiotherapy Service, Hospital III Goyeneche. Arequipa, Perú

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.