Pelvic cancer surgery with a shadow on the neck, is it metastasis?

Patient's question:

Recently, I developed bruises, and sometimes I have severe stomach pain that radiates. At times, the pain is so intense that I can't straighten up. As a result, I went to the hospital for tests and discovered tumor cells. After confirmation, it was diagnosed as pelvic cancer. I started treatment as soon as possible, but there were side effects post-surgery. Is it possible that it has metastasized?

Doctor's answer:

Symptoms of Pelvic Cancer
Uterine Bleeding: Irregular vaginal bleeding before and after menopause is a primary symptom of pelvic cancer. The bleeding is usually light to moderate in amount and rarely heavy. Pelvic cancer patients generally do not experience contact bleeding. In advanced stages, the bleeding may contain tissue resembling decaying meat.
Symptoms of Pelvic Cancer
Vaginal Discharge: Since adenocarcinoma grows within the uterine cavity, the risk of infection is lower compared to cervical cancer. Therefore, in the early stages, only a small amount of bloody leukorrhea may be present. However, as infection and necrosis develop, a large volume of foul-smelling purulent bloody discharge may occur. Sometimes, the discharge may contain small fragments of cancerous tissue. If the cervical cavity becomes purulent, it may cause fever, abdominal pain, and leukocytosis. The general condition of the patient also deteriorates rapidly.

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