A 39-year-old Saudi woman presented in our oncology clinic for her routine visit with left lower neck swelling. She had noticed this swelling for 2 months, and it had been rapidly increasing in size over a month causing pain, for which she was taking nonsteroidal anti-inflammatory drugs (NSAIDs), but no benefit. Her previous medical history revealed that three years ago she was treated with total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH and BSO) followed by adjuvant chemoradiation for bulky FIGO stage IB. She had no history comorbid conditions and no history of smoking, and her weight was stable. On physical examination, her vitals were stable. A fixed, solitary, hard neck mass of size 4 x 4 cm was palpable in the left supraclavicular region. There was no other palpable cervical lymphadenopathy, and the examination of chest, heart, nervous system, abdomen, and pelvis was normal. Clinical differential diagnosis was tuberculosis or carcinoma of breast or lung. 
Computed tomography (CT) neck showed left supraclavicular solid mass of size 3.2 x 2.5 cm encasing the vessels (Figure 1). The mammogram of both breasts was normal with no solid or cystic lesion. Hematological, renal, and liver function tests, tuberculin, and serum electrolytes were within normal limits. The core biopsy of mass was performed, which revealed metastatic squamous cell carcinoma consisting with cervix primary (Figure 2). CT of chest, abdomen, and pelvis revealed para-aortic lymphadenopathy and lytic lesion in dorsal spine however, no local recurrence. Bone scintigraphy confirmed bone metastasis in skull, dorsal spine, left femur, distal right femur, and proximal right tibia (Figure 3). 
Patient was started on duplet chemotherapy (cisplatin and paclitaxel). After four cycles, she has responded well to the treatment with a reported decrease in the size of the supraclavicular nodes (Figure 4).