June 5th, 2020

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Isolated Cardiac Metastasis of Cervical Carcinoma Presenting as Disseminated Intravascular Coagulopathy: A Case Report
Authors:  Richard L. Harvey, M.D., George Mychaskiw II, D.O., Vishal Sachdev, M.D., and Bobby J. Heath, M.D.
BACKGROUND: An isolated cardiac metastasis from cervical carcinoma is very rare. This report describes the unusual presentation in a patient diagnosed and successfully treated for stage IB squamous cell carcinoma of the cervix, presenting six months later with disease metastatic to the heart.

CASE: A 44-year-old woman presented with hand swelling and bruising. She had undergone successful surgical treatment of a stage IB squamous cell cervical carcinoma six months previously. Computed tomography revealed a large mass in the right ventricle, confirmed by echocardiography. The patient underwent surgery, where the mass was biopsied and debulked under a cardiopulmonary bypass. Frozen section confirmed metastatic squamous cell carcinoma. The patient was discharged with follow-up radiation and chemotherapy.

CONCLUSION: All women with myocardial abnormalities and a history of squamous cell carcinoma of the cervix should be suspected of developing a myocardial metastasis until proven otherwise. (J Reprod Med 2000;45:603-606)
Keywords:  heart neoplasms, metastasis, cervix neoplasms, disseminated intravascular coagulopathy
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