Scant attention has been paid to distant metastases from cancer of the cervix as it was considered generally not to spread above the pelvic brim. A review of the early literature reveals a wide variance in the reported incidence of metastases from cervical carcinoma, not only overall, but also in distribution (1, 3–5). Publications concerning unusual manifestations of metastases from cancer of the cervix have appeared sporadically, but a comprehensive evaluation of a large series of patients portraying the overall incidence of distant metastases as well as that of various organ involvements has not appeared. Modern radiotherapy achieves better control of cancer in the pelvis and allows more patients to survive longer, which, in turn, permits distant metastases to become clinically evident. The present study was undertaken to analyze the incidence and distribution of distant metastases in patients treated at The University of Texas M. D. Anderson Hospital and Tumor Institute, Houston, Texas, between Septem...