title: Case of metastatic uterine cervical squamous cell carcinoma in the right atrium.
abstract: BACKGROUND
  Metastasis of uterine cervical carcinoma to the heart is uncommon and cases with metastasis to the right atrium are especially rare. This type of metastasis occurs in the epicardium and the myocardium in over 90% of cases with a heart metastatic tumor. Most cases of a metastatic tumor in the heart are found by chance during autopsy.
  
  
  METHODS
  We present the case of a patient with stage IIa uterine cervical carcinoma who visited our hospital with a chief complaint of arrhythmia 1.9 years after surgical treatment of carcinoma. CT and MRI showed that recurrent metastatic uterine cervical carcinoma had grown from the inferior vena cava upward into the right atrium.
  
  
  CONCLUSIONS
  Although gynecological malignant tumors rarely metastasize to the heart, it is important to consider this possibility in patients with chest symptoms, and to make an early definite diagnosis and give appropriate treatment.
authors.affiliation: Department of Obstetrics and Gynecology, Tokai University Hachioji Hospital, School of Medicine, 1838 Ishikawamachi, Hachioji, Tokyo 192-0032, Japan. atsuko.t@is.icc.u-tokai.ac.jp
authors.forename: Atsuko
authors.initials: A
authors.lastname: Togo
authors.forename: Toshinari
authors.initials: T
authors.lastname: Muramatsu
authors.forename: Hitomi
authors.initials: H
authors.lastname: Tsukada
authors.forename: Masae
authors.initials: M
authors.lastname: Ikeda
authors.forename: Masako
authors.initials: M
authors.lastname: Shida
authors.forename: Takeshi
authors.initials: T
authors.lastname: Hirasawa
authors.forename: Hironobu
authors.initials: H
authors.lastname: Maeda
authors.forename: Mikio
authors.initials: M
authors.lastname: Mikami
mesh_terms: D000328:Adult; D044466:Asian People; D017809:Fatal Outcome; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary*; D006801:Humans; D008207:Lymphatic Metastasis; D008279:Magnetic Resonance Imaging; D009364:Neoplasm Recurrence, Local; D018307:Neoplasms, Squamous Cell / Q000175:diagnosis / Q000473:pathology / Q000556:secondary*; D014057:Tomography, X-Ray Computed; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000473:pathology*; D019043:Vascular Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary; D014682:Vena Cava, Inferior