What are the manifestations of cervical cancer with inguinal metastasis?

In general, when cervical cancer metastasizes to the inguinal region, the body may exhibit noticeable abnormalities, primarily including inguinal lumps, local pain, skin changes, lower limb swelling, and impaired function. The details are as follows:

1. Inguinal mass: In the early stage of metastasis, a small lump can be felt in the inguinal area, usually appearing unilaterally. The mass is typically hard with poorly defined borders. As the disease progresses, the mass gradually enlarges, increases in number, and may even coalesce into a larger mass. Some masses show limited mobility and adhere to surrounding tissues.

2. Local pain: Initially, the pain is often mild, presenting as slight distension or dull ache, which may worsen with physical activity. As the mass enlarges and compresses nearby nerves or tissues, the pain intensifies, becoming persistent and dull, and may become more pronounced at night during rest, thereby affecting sleep quality.

3. Skin changes: The skin overlying the mass may show abnormalities. Early signs include skin tightness and darkened pigmentation. If the mass causes impaired local circulation due to compression, the skin may become red and warm. In severe cases, the skin may ulcerate, exude fluid, or even develop secondary infections.

4. Lower limb swelling: If metastatic masses compress lymphatic vessels or blood vessels in the inguinal region, it can obstruct venous and lymphatic return from the lower limbs, leading to unilateral or bilateral limb swelling. Swelling typically begins at the ankles and progressively extends upward. Pressing on the skin may leave an indentation (pitting edema), and symptoms often persist despite rest or activity reduction.

5. Functional impairment: As the mass grows and pain worsens, movement in the inguinal area becomes restricted. Patients may experience difficulty walking, altered gait, and sharp pulling pain in the groin when sitting down or standing up, significantly impairing daily activities.

Patients exhibiting these symptoms should prioritize rest, avoid strenuous exercise, and reduce strain on the lower limbs. Daily care should include keeping the inguinal area clean and dry, wearing loose-fitting clothing, and actively cooperating with professional medical treatment to control disease progression.