SUPRACLAVICULAR LYMPHADENOPATHY- AN EXTREMELY RARE INITIAL MANIFESTATION IN CARCINOMA CERVIX (CASE REPORT)

Carcinoma of the cervix though considered as a preventable disease continues to be a significant health problem worldwide and is the second most frequent cause of cancer death in women in developing countries. Carcinoma of cervix rarely metastasis to supraclavicular group of lymph nodes and very few cases have been reported in the medical literature. Here I report one such case of cancer cervix with unusual manifestation at the time of presentation. A 40yr old lady presented toout patient department of gynaecological oncology, AHRCC, Cuttack, with complaints of irregular menstruation associated with white discharge per vagina, on & off pain abdomen and interestingly swelling in the left supraclavicular region. Cervical biopsy, FNAC of SCLN and ultrasound was done, and a diagnosis of stage IVB was made. She underwent systemicchemotherapy and pelvic irradiation (EBRT and Brachytherapy). She is reported to be disease free after one year of therapy. Though considered to have bad prognosis, stage IVB still can be treated with improved progression free interval and survival rate.