title: Diagnosis of cardiac metastasis from cervical cancer in a 33-year-old patient using multimodal imaging studies: a case report and literature review.
abstract: We report a case of a 33-year-old woman with emergency admission due to dyspnoea and fever. History included squamous cell carcinoma of the cervix in complete remission. Contrast-enhanced computed tomography (CT) scanning of the chest, which was indicated to rule out pneumonia, revealed an infiltrative cardiac mass. Further assessment of the tumour by echocardiography and cardiac magnetic resonance imaging (MRI) showed transmural infiltration of the apical interventricular septum with a mass extending into the left and right ventricle cavities. The mass was highly suspicious for a cardiac metastasis. Cardiac metastases from cervical cancer are extremely rare. Recurrence of cervical carcinoma involving the heart should be considered even after a curative therapy approach. Non-invasive imaging plays a paramount role in investigating cardiac masses. Echocardiography, CT and MRI are complementary imaging modalities for complete work-up of intracardiac lesions.
authors.affiliation: INSELSPITAL - Bern University Hospital, Bern, Switzerland.
authors.forename: Khoschy
authors.initials: K
authors.lastname: Schawkat
authors.affiliation: University of Bern, Bern, Switzerland.
authors.forename: Beatrix
authors.initials: B
authors.lastname: Hoksch
authors.affiliation: University of Bern, Bern, Switzerland.
authors.forename: Markus
authors.initials: M
authors.lastname: Schwerzmann
authors.affiliation: INSELSPITAL - Bern University Hospital, Bern, Switzerland.
authors.forename: Stefan
authors.initials: S
authors.lastname: Puig
authors.affiliation: INSELSPITAL - Bern University Hospital, Bern, Switzerland.
authors.forename: Thorsten
authors.initials: T
authors.lastname: Klink
keywords: Cardiac; cervix; computed tomography (CT); heard; magnetic resonance imaging (MRI); metastases