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Cardiac metastasis in cervical cancer
Ajay Sasidharan1, Vinod Hande1, Umesh Mahantshetty1
1Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, India.
BJR Case Reports
|October 27, 2018
Summary
Metastasis of cervical carcinoma to the heart is rare, often discovered post-mortem. This case highlights cardiac involvement in cervical cancer recurrence, detected via PET-CT scan, emphasizing the need for vigilance in advanced stages.
Area of Science:
- Oncology
- Cardiology
- Medical Imaging
Background:
- Cervical carcinoma metastasis to the heart is infrequent, typically involving the epicardium and myocardium.
- Most cardiac metastases are identified incidentally during autopsy.
Observation:
- A patient with stage IIIB cervical cancer presented with right lower limb edema one year post-treatment.
- PET-CT revealed recurrent lymphadenopathy and FDG avid uptake in the right atrial wall and atrioventricular groove.
Findings:
- The findings indicate cardiac metastasis from cervical carcinoma.
- The patient opted for best supportive care due to refusal of further treatment or biopsy.
Implications:
- This case underscores the possibility of cardiac metastasis in cervical cancer recurrence.
- Early detection through advanced imaging like PET-CT can reveal uncommon metastatic sites, influencing patient management and prognosis.
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