Key result
Surgical excision of an incidental, isolated right atrial metastasis from tongue squamous cell carcinoma resulted in survival with a performance status over 70 at 7 months post-surgery.
Why the study?
Cardiac metastasis from tongue squamous cell carcinoma is rare and typically occurs as part of disseminated disease.
Case Report (n=1)
This report highlights a rare case of asymptomatic, isolated cardiac metastasis from tongue squamous cell carcinoma that was successfully managed with surgical excision.
Isolated cardiac metastasis from tongue SCC may occur despite loco-regional control; leaves open optimal surveillance strategies in head and neck cancer survivors.
Cardiac metastasis from tongue squamous cell carcinoma (SCC) is rare and typically occurs as part of disseminated disease. Seven months' after completing treatment and loco-regional disease control, the patient was incidentally diagnosed with a mass in the right atrium on routine imaging, which was subsequently surgically excised. Histopathology of the cardiac lesion supported a diagnosis of squamous cell carcinoma, consistent with metastasis from tongue carcinoma. PET-CT indicated no uptake elsewhere in the body. Seven months after cardiac surgery, patient is currently undergoing systemic therapy with a performance status over 70. This is a unique case of incidental, isolated cardiac metastasis in a previously treated tongue SCC.
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Anand et al. (2025) conducted a case report in Cardiac metastasis from tongue squamous cell carcinoma (n=1). Surgical excision and systemic therapy was evaluated on Survival and performance status. Surgical excision of an incidental, isolated right atrial metastasis from tongue squamous cell carcinoma resulted in survival with a performance status over 70 at 7 months post-surgery.
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