title: Biatrial Cardiac Metastases in a Patient with Uterine Cervix Malignant Melanoma.
abstract: Primary malignant melanomas of uterine cervix are quite rarely seen neoplasms, and long-life prognosis of patients with this disease is poor. Immunohistochemical methods and exclusion of other primary melanoma sites are used to confirm the diagnosis. As with other melanomas, cervix malignant melanomas may also cause cardiac metastases. Cardiac metastases are among rarely seen but more commonly encountered cases, compared to primary cardiac tumors. Here, we present a case of biatrial cardiac metastases in a 73-year-old patient with uterine cervix malignant melanomas. The patient underwent echocardiography, cardiac magnetic resonance imaging, and computed tomography. Our report shows the importance of advanced diagnostic techniques, such as cardiac magnetic resonance, not only for the detection of cardiac masses, but for a better anatomic definition and tissue characterization. Although the cases of malignant melanomas leading to multiple cardiac metastasis were reported in literature, the metastatic concurrence of malignant melanomas in both right and left atriums is quite rarely encountered as metastatic malignant melanomas. Also, another intriguing point in our case is that the primary lesion of our case was stemmed from uterine cervix, but not skin.
authors.affiliation: Department of Medical Oncology, Konya Training and Research Hospital, 42090 Konya, Turkey.
authors.forename: Caglayan
authors.initials: C
authors.lastname: Geredeli
authors.affiliation: Department of Medical Oncology, Meram Medical Faculty, Necmettin Erbakan University, 42080 Konya, Turkey.
authors.forename: Melih Cem
authors.initials: MC
authors.lastname: Boruban
authors.affiliation: Department of Radiology, Meram Medical Faculty, Necmettin Erbakan University, 42080 Konya, Turkey.
authors.forename: Necdet
authors.initials: N
authors.lastname: Poyraz
authors.affiliation: Department of Medical Oncology, Meram Medical Faculty, Necmettin Erbakan University, 42080 Konya, Turkey.
authors.forename: Mehmet
authors.identifier: 0000-0003-2335-3354
authors.initials: M
authors.lastname: Artac
authors.affiliation: Department of Cardiology, Meram Medical Faculty, Necmettin Erbakan University, 42080 Konya, Turkey.
authors.forename: Alpay
authors.initials: A
authors.lastname: Aribas
authors.affiliation: Department of Medical Oncology, Meram Medical Faculty, Necmettin Erbakan University, 42080 Konya, Turkey.
authors.forename: Lokman
authors.initials: L
authors.lastname: Koral