<s>[INST] Hi! Im a first year medical student. Can you explain the pathophysiology of a patient suffering from cervical cancer having a flabby stomach and flank tenderness? Is it because the cancer is already advanced that it compressed the surrounding organs causing them to be tender? I hope you dont mind. Thank you very much! [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Cervical cancer can spread to distal organs like stomach, liver, lungs, bones etc. So possibility of cancer spread in stomach and vertebra is high in that patient which is causing tenderness and flank pain. So get done ultrasound examination of abdomen as and MRI of spine to rule out metastasis in stomach and spine. Hope I have solved your query. Thanks. </s>