The article presents a rare case of isolated massive pre-sacral metastasis in first stage cervical cancer. A 64 year old patient, which on occasion genital bleeding is made D&CI and histologically proven a "cancer of the cervix." Last period - 6 years ago. Clinically a patient diagnosed as IBI stage according to FIGO criteria. Surgery was radical hysterectomy (Class Ill) and pelvic and paraaortic lymph node dissection. HiStological result of the preparation is: vagina - clean resection lines, parameters - connective tissue and vessels, endometrium - atrophic changes, paraaortic lymph nodes - without metastases, cervix - infiltrative ulcerous adenosquamous carcinoma size vertically -4 cm. and -3.5 cm horizontally. Hitopathological diagnosis confirmed the clinical - pTlblNlMx.

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