Cardiac metastasis of uterine cervical squamous cell carcinoma: A case report and review of the literature

Takeda, Yoshihiro; Fujimoto, Ryu-ichiro; Morita, Hideaki; Sakane, Kazushi; Tsunetoh, Satoshi; Ohmichi, Masahide; Ozawa, Hideki; Katsumata, Takahiro; Tsuji, Motomu; Tanigawa, Jun; Sohmiya, Koichi; Hoshiga, Masaaki; Ishizaka, Nobukazu

doi:10.1016/j.jccase.2014.08.001

Cited by 11 publications

(5 citation statements)

References 23 publications

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“…Finally, we performed an echocardiography examination which revealed a tumor mass in the right ventricle. This is in concordance with literature as the right side of the heart is far more frequently affected by cardiac metastases than the left side in patients with cervical cancer (14,16). The most likely route of spread for cervical cancers is hematogenous -through the cervical venous plexus, into the inferior vena cava and right atrium and finally to the right ventricle (15).…”

Section: Discussionsupporting

confidence: 90%

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Right ventricular metastasis of uterine cervical cancer: A case report

Stojanović,

Ilić,

Marinković

et al. 2023

Acta fac medic Naissensis

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Introduction. Cardiac metastasis of uterine cervical cancer diagnosed prior to mortality (antemortem) is extremely rare. Case report. A female patient 49 years old was brought to the Emergency Department of the Institute for Treatment and Rehabilitation Niška Banja in cardiac arrest, without a pulse and blood pressure. An electrocardiogram revealed sustained ventricular tachycardia, which was terminated by two DC shocks (100J + 150J). Anamnesis and medical history revealed that she had had her squamous cell carcinoma of the uterine cervix removed and had subsequently received seven out of ten planned cycles of chemotherapy and twenty-eight cycles of radiotherapy. The patient was then transferred to the Coronary Unit, where cardiac ultrasound was performed. A homogenous mass measuring 31 x 50 mm was found in the right ventricle. In view of this, cardiac magnetic resonance imaging was performed. This confirmed the presence of the tumor mass in the right ventricle. Unfortunately, only a month after being discharged from our Institute, the patient was admitted to the Clinic of Neurology due to a loss of consciousness. Computer tomography of endocranium was performed revealing metastatic brain lesions. The patient succumbed to the disease just a couple of months later. Conclusion. We presented a rare case of antemortem diagnosed right ventricle metastases in a patient with uterine cervical cancer. Setting the diagnosis in these patients is a challenge in everyday clinical practice since metastases can produce the clinical picture that masks the real etymology of uterine cervical cancer.

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Section: Discussionsupporting

confidence: 90%

“…However, the aggressive treatment and surgical resection of metastases is controversial. Although it may prolong patients' life up to 13 months (14), in most cases surgical treatment is not curative but palliative (16). In patients with systemic metastases, as was the case with our patient, surgical intervention is contraindicated (9).…”

Section: Discussionmentioning

confidence: 65%

Right ventricular metastasis of uterine cervical cancer: A case report

Stojanović,

Ilić,

Marinković

et al. 2023

Acta fac medic Naissensis

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“…One remarkable feature of the present case was severe thrombocytopenia. This abnormality has been previously reported associated with both benign and malignant cardiac tumors [9] . The pathogenesis of thrombocytopenia in this particular patient population has not been completely elucidated.…”

Section: Discussionsupporting

confidence: 67%

A rare case of cardiac metastasis from uterine cervical adenocarcinoma

Hajsadeghi

Pakbaz

Sadeghipour

et al. 2021

Journal of Cardiology Cases

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“…In the cases described in the literature, the interval between the diagnosis of the primary malignant tumor and the diagnosis of cardiac metastases may vary between 1 month and 14 years. 7,9,[20][21][22][23][24][25][26][27] The incidence of metastatic HCC in the right ventricular heart cavity extending through the inferior vena cava was reported to be less than 6% in autopsy series. 26 Even today, there is no standard treatment for metastatic HCC with invasion into the right ventricle.…”

Section: Discussionmentioning

confidence: 99%