Where might cervical cancer spread to?

Cervical cancer has a pattern of metastasis that can affect various body systems. When considering the potential sites of spread, it's essential to recognize that cervical cancer can invade surrounding tissues and organs and can disseminate to distant sites through the lymphatic system or bloodstream.

The primary tumor site is the cervix, and local spread often involves adjacent structures in the pelvis, including the bladder and rectum, making these areas susceptible to involvement as the cancer progresses. Additionally, cervical cancer can spread to more distant organs such as the brain and liver, particularly in advanced stages, where metastatic lesions can be found.

Hence, by identifying various potential sites of spread, including the cervix, pelvis, bladder, rectum, brain, and liver, the comprehensive answer that encompasses all possibilities is supported. Recognizing the multifocal spread characteristic of cervical cancer justifies why "all of the above" is the appropriate response.