Recurrence of cervical carcinoma manifesting as cardiac metastasis three years after curative resection.
We report a rare case of cardiac metastasis from carcinoma of the uterine cervix. A 58-year-old woman presented with multiple pulmonary emboli, disseminated intravascular coagulation, and right heart failure 43 months after a curative resection of cervical carcinoma (stage IB1). Transthoracic echocardiography and computed tomography revealed large tumors in the right ventricle and right main pulmonary artery. No evidence of recurrence was obtained in the pelvis and abdomen. Surgical removal of the tumors remarkably improved her general condition, which had been declining progressively. The patient declined further treatment, including adjuvant chemotherapy, and was followed in the outpatient clinic. The right ventricular tumor recurred 4 months later and she died of heart failure. The possibility of late recurrence of cervical carcinoma in the heart should be considered even after curative resection.
Inamura
Kyoko
K
Department of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Higashi-ku, Fukuoka, Japan.
Hayashida
Akihiro
A
Kaji
Yoshikazu
Y
Ito
Hiroyuki
H
Hirakawa
Toshio
T
Kobayashi
Hiroaki
H
Masuda
Munetaka
M
Nishida
Takahiro
T
Harada
Mine
M
D005260:Female; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D002583:Uterine Cervical Neoplasms / Q000473:pathology*