A Rare Encounter With Unusual Metastasis: Metastatic Right Ventricular Tumor Secondary to Cervical Cancer

被引:0
作者
Nnadi, Ekenedilichukwu N. [1 ]
Khatun, Nazima [1 ]
John, Sabu [2 ]
机构
[1] SUNY Downstate Med Ctr, Internal Med, Brooklyn, NY 11203 USA
[2] Kings Cty Hosp Ctr, Cardiol, Brooklyn, NY USA
关键词
cardiac imaging-mri; cardio-oncology; transthoracic echocardiography (tte); multimodality cardiac imaging; cervical cancer; cardiac metastasis;
D O I
10.7759/cureus.62530
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Metastasis of cervical cancer to the heart is rare. Cervical carcinoma typically spreads to the lungs, liver, bones, and lymph nodes via hematogenous, lymphatic, transvenous, or direct extension. Cardiac metastasis from cervical carcinoma is uncommon and portends a dismal prognosis, with mean survival under six months post-diagnosis. A high index of suspicion and multimodal imaging is imperative for prompt diagnosis and improved outcomes in these patients. Here, we report a rare case where a 41-year-old African American female with stage IIIB cervical squamous cell carcinoma (SCC) presented with exertional dyspnea and chest pain concerning pulmonary embolism (PE). Computed tomography angiography showed no PE but revealed a right ventricular (RV) mass and diffuse pulmonary nodules. Echocardiography suggested an RV tumor versus a thrombus. Cardiac magnetic resonance imaging demonstrated a large RV infiltrative mass favoring metastasis over thrombus. A biopsy of one of the pulmonary nodules confirmed metastatic SCC. Despite treatment, the prognosis was poor.
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页数:7
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共 12 条
  • [1] Intracardiac metastasis from known cervical cancer: a case report and literature review
    Byun, Seung Won
    Park, Sung Taek
    Ki, Eun Young
    Song, Hyun
    Hong, Suk Hee
    Park, Jong Sup
    [J]. WORLD JOURNAL OF SURGICAL ONCOLOGY, 2013, 11
  • [2] Ferraz João Gustavo Gongora, 2006, Arq. Bras. Cardiol., V87, pe104, DOI 10.1590/S0066-782X2006001700025
  • [3] Han Gwan Hee, 2017, Obstet Gynecol Sci, V60, P129, DOI 10.5468/ogs.2017.60.1.129
  • [4] Right ventricular metastasis from a primary cervical carcinoma
    Iwaki, T
    Kanaya, H
    Namura, M
    Ikeda, M
    Uno, Y
    Terashima, N
    Ohka, T
    Miura, Y
    Shimizu, M
    Mabuchi, H
    [J]. JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION, 2001, 65 (08): : 761 - 763
  • [5] A Matter of the Heart: Myocardial Metastases in Neuroendocrine Tumors
    Jann, H.
    Wertenbruch, T.
    Pape, U.
    Oezcelik, C.
    Denecke, T.
    Mehl, S.
    Wiedenmann, B.
    Pavel, M.
    [J]. HORMONE AND METABOLIC RESEARCH, 2010, 42 (13) : 967 - 976
  • [6] Rare metastases of recurrent cervical cancer to the pericardium and abdominal muscle
    Kim, Hee Seung
    Park, Noh-Hyun
    Kang, Soon-Beom
    [J]. ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 2008, 278 (05) : 479 - 482
  • [7] Cardiac metastasis from carcinoma of the cervix: Report of two cases
    Lemus, JF
    Abdulhay, G
    Sobolewski, C
    Risch, VR
    [J]. GYNECOLOGIC ONCOLOGY, 1998, 69 (03) : 264 - 268
  • [8] Advances in diagnosis and treatment of metastatic cervical cancer
    Li, Haoran
    Wu, Xiaohua
    Cheng, Xi
    [J]. JOURNAL OF GYNECOLOGIC ONCOLOGY, 2016, 27 (04)
  • [9] Metastases to the heart
    Reynen, K
    Köckeritz, U
    Strasser, RH
    [J]. ANNALS OF ONCOLOGY, 2004, 15 (03) : 375 - 381
  • [10] Cancer of the HeartEpidemiology and Management of Primary Tumors and Metastases
    Jennifer M. Sarjeant
    Jagdish Butany
    Robert J. Cusimano
    [J]. American Journal of Cardiovascular Drugs, 2003, 3 (6) : 407 - 421