Diffuse pulmonary Iymphangitic involvement secondary to cervical carcinoma is a rare form of pulmonary metastatic disease. A patient with recurrent squamous cell carcinoma of cervix presented with rapid deterioration with marked respiratory symptoms suggestive of pulmonary embolism and right heart faiure, with which the disease is often confused.

Pulmonary Iymphangitic spread of the cancer was found postmortem. The pathogenesis of pulmonary Iymphangitic carcinomatosis is reviewed and diagnostic evaluation discussed.