Cancerous Arrhythmia: Metastatic Cervical Cancer to the Heart Complicated by Ventricular Tachycardia

Cardiac metastasis from cervical cancer presenting with ventricular arrhythmias is an exceedingly rare phenomenon that requires a multidisciplinary approach for management and prognostication.

A woman with cervical squamous cell carcinoma presented with nonsustained ventricular tachycardia. Imaging revealed a 4-cm right ventricular mass with biopsy consistent with metastatic cervical squamous cell carcinoma. The patient was a poor surgical candidate and was managed with chemotherapy and ambulatory cardiac monitoring with close outpatient follow-up.

Cardiac metastasis is a rare occurrence that requires consideration of surgical candidacy, appropriate cytotoxic therapy, and management of complications. Ventricular arrhythmias are infrequently described but should be first managed with antiarrhythmic drugs, although sparse reports exist of radiofrequency ablation.

Dangerous ventricular arrhythmias are a rarely described complication of cardiac metastasis from cervical cancer. Optimal management is poorly defined but should involve a multidisciplinary approach and consideration of both surgical and medical therapies.