title: Isolated cardiac metastasis of cervical carcinoma presenting as disseminated intravascular coagulopathy. A case report.
abstract: BACKGROUND
  An isolated cardiac metastasis from cervical carcinoma is very rare. This report describes the unusual presentation in a patient diagnosed and successfully treated for stage IB squamous cell carcinoma of the cervix, presenting six months later with disease metastatic to the heart.
  
  
  METHODS
  A 44-year-old woman presented with hand swelling and bruising. She had undergone successful surgical treatment of a stage IB squamous cell cervical carcinoma six months previously. Computed tomography revealed a large mass in the right ventricle, confirmed by echocardiography. The patient underwent surgery, where the mass was biopsied and debulked under a cardiopulmonary bypass. Frozen section confirmed metastatic squamous cell carcinoma. The patient was discharged with follow-up radiation and chemotherapy.
  
  
  CONCLUSIONS
  All women with myocardial abnormalities and a history of squamous cell carcinoma of the cervix should be suspected of developing a myocardial metastasis until proven otherwise.
authors.affiliation: Department of Surgery, University of Mississippi School of Medicine, Jackson, USA.
authors.forename: R L
authors.initials: RL
authors.lastname: Harvey
authors.forename: G
authors.initials: G
authors.lastname: Mychaskiw
authors.forename: V
authors.initials: V
authors.lastname: Sachdev
authors.forename: B J
authors.initials: BJ
authors.lastname: Heath
mesh_terms: D000328:Adult; D001778:Blood Coagulation Disorders / Q000175:diagnosis* / Q000473:pathology; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000556:secondary* / Q000628:therapy; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000628:therapy; D006801:Humans; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology*