A Case of Cardiac Metastasis from Uterine Cervical Carcinoma

Okamoto, Kiyoshi; Kusumoto, Tetsuya; Seki, Nobuhiko; Nakamura, Keiichiro; Hiramatsu, Yuji

doi:10.1155/2015/703424

Cited by 8 publications

(9 citation statements)

References 24 publications

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“…Although the surgery seems to be the best option at the moment 6 . The prognosis of cardiac metastasis is poor with an average life expectancy less than six months after diagnosis 7 . In our case, ECG showed characteristic abnormality.…”

Section: Discussionmentioning

confidence: 54%

Electrocardiographic changes in right ventricular metastatic cardiac tumor mimicking acute ST elevation myocardial infarction: A case of misdiagnosis

Demir

Turan

Ede

et al. 2019

Turkish Journal of Emergency Medicine

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IntroductionIn patients with ST elevation myocardial infarction (STEMI), minimizing the reperfusion time is the goal of therapy worldwide. However, the differential diagnosis is critical and when a patient is encountered with chest pain and ST elevation, STEMI should not be the only diagnosis considered. By detailed history and focused physical examination, it is possible to avoid a mistaken diagnosis.Case presentationIn this report, we present a case of a male patient with tongue cancer and accompanying myocardial metastasis that causes electrocardiographic changes, who was initially misdiagnosed with ST elevation myocardial infarction.ConclusionHere, we reported a case of metastatic cancer in the heart which was initially diagnosed as acute myocardial infarction. Echocardiography, computed tomography and magnetic resonance imaging of the heart were used accordingly to confirm the myocardial metastasis.

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Section: Discussionmentioning

confidence: 54%

Electrocardiographic changes in right ventricular metastatic cardiac tumor mimicking acute ST elevation myocardial infarction: A case of misdiagnosis

Demir

Turan

Ede

et al. 2019

Turkish Journal of Emergency Medicine

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“…Intracavitary masses are very rare and are usually right-sided. Most common primary tumor origins of cardiac metastases include melanoma, lung, breast, and lymphoma [5].…”

Section: Discussionmentioning

confidence: 99%

“…This is due to the clinically silent nature of these metastases. The most common symptoms when present include chest pain, arrhythmias, cardiac tamponade, recurrent pulmonary emboli, cardiac failure, and pulmonary hypertension [5]. Echocardiography is the first-line imaging modality in the detection and evaluation of cardiac tumors with the ability to observe location, shape, mobility, and other features.…”

Section: Discussionmentioning

confidence: 99%

“…There is no established treatment for cardiac metastasis of endometrial carcinosarcoma; this is likely due to very low incidence as well as very poor prognosis as the life expectancy of these patients becomes less than six months on average [5]. Combinations of aggressive treatments including open surgical excision, chemotherapy, and radiation therapy have been noted to only increase lifespan by as little as three months and 13 months at most [7].…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Intracavitary Cardiac Metastasis of Endometrial Carcinosarcoma

Javeed¹,

Ravuri²,

Javeed³

et al. 2022

Cureus

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A 59-year-old female, with past medical history including endometrial carcinosarcoma with a port-a-cath device, presented due to shortness of breath. Transesophageal echocardiogram demonstrated a mass extending from the right atrium, involving the tricuspid valve, and extending into the right ventricle. Our differential diagnosis included thrombus as well as endocarditis and malignancy; a thrombus was considered to be the most likely etiology due to the port-a-cath device. Use of the novel AngioVac mechanical aspiration device (AngioDynamics, 2021) allowed removal of the mass as well as evaluation by pathology, establishing the unlikely diagnosis of metastatic endometrial carcinosarcoma.

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“…The prognosis of cardiac metastasis is poor with an average life expectancy less than 6 months after diagnosis ( 8 ). In the review of 37 cases by Okamoto et al, in which cardiac metastasis from cervical carcinoma was found before death, chest symptoms were seen in 81.5% of the patients (8).…”

Section: Discussionmentioning

confidence: 99%

Metastatic right ventricular mass with intracavitary obliteration

Kalvakuri

Banga

Upalakalin

et al. 2016

Journal of Community Hospital Internal Medicine Perspectives

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Metastatic cardiac tumors are more common than the primary cardiac tumors. Cervical cancer metastasizing outside of the pelvis is commonly spread to the lungs, liver, bones and lymph nodes than to the heart. Right-sided metastasis to the heart is more common than to the left side. Intramural spread is more common than intracavitary growth of metastatic cardiac tumors leading to delayed clinical presentation. Intracavitary mass can be confused with intracavitary thrombus which can be seen in the setting of pulmonary embolism. Transthoracic echocardiography plays a major role in the decision making and management of pulmonary embolism, and this modality can also be used to diagnose cardiac masses. Other modalities like TEE, cardiac CT, cardiac MRI and PET-CT scan have further utility in delineating these masses. This may help to plan appropriate management of the right ventricular mass particularly in cases where the patient history and CT pulmonary angiography results favor the diagnosis of pulmonary embolism. We present the case of a 49-year-old woman with a history of supracervical hysterectomy and salpingo-oophorectomy on oral estrogen therapy who was admitted with complaints of pleuritic chest pain and respiratory insufficiency after a long flight. Initial work-up showed sub-segmental pulmonary embolus in the right posterior lower lobe pulmonary artery, and the patient was managed on intravenous heparin. Lack of appropriate response to standard therapy led to further evaluation. Multimodality imaging and biopsies revealed a large right intracavitary ventricular metastatic squamous cell tumor, with the cervix as the primary source.

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A Case of Cardiac Metastasis from Uterine Cervical Carcinoma

Cited by 8 publications

References 24 publications

Electrocardiographic changes in right ventricular metastatic cardiac tumor mimicking acute ST elevation myocardial infarction: A case of misdiagnosis

Electrocardiographic changes in right ventricular metastatic cardiac tumor mimicking acute ST elevation myocardial infarction: A case of misdiagnosis

A Rare Case of Intracavitary Cardiac Metastasis of Endometrial Carcinosarcoma

Metastatic right ventricular mass with intracavitary obliteration

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