CASE REPORT   

Gazzetta Medica Italiana - Archivio per le Scienze Mediche 2019 March;178(3):154-6

DOI: 10.23736/S0393-3660.18.03717-8

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

A rare case of metastatic deposits of cervical carcinoma in the heart

Dalila SACIC ¹, Jovana TODOROVIC ² ✉, Melanie NORTON ¹, Mirsad SACIC ³, Branislava IVANOVIC ⁴

¹ Medical Faculty Belgrade, Belgrade, Serbia; ² Institute of Social Medicine, School of Medicine, University of Belgrade, Belgrade, Serbia; ³ Novi Pazar General Hospital, Novi Pazar, Serbia; ⁴ Serbian Clinical Center, Clinic for Cardiology, Medical Faculty Belgrade, Belgrade

Secondary metastatic deposits in the heart are generally rarely diagnosed antemortem. Malignant tumors of gynecologic origin commonly spread to the bones, lungs, local cervical region and the supra-clavicular lymph nodes, while gynecologic metastases to the thoracic region are rarely seen in clinical practice. We present a case of squamous cervical carcinoma that metastasized to the heart in 35-year old patient. The patient was admitted to cardiology department with complaints of retrosternal pain, dyspnea, fatigue, and cough. She informed the physicians that she had bilateral adnexectomy three years prior to admission. On physical examination patient was pale, febrile (38 °C), adynamic, with diminished breath sounds. Trans-thoracic echocardiogram showed aforeign mass of 42x64 mm extracardially proximal to the right atrium. Biopsy showed characteristics of metastatic deposits of squamous differentiation. These were the only metastases in this case.

KEY WORDS: Neoplasm metastasis - Heart - Uterine cervical neoplasms