Key result
A 47-year-old female with stage IIIB cervical cancer developed rare cardiac metastasis 12 months post-treatment and survived for 11 months with best supportive care.
Case Report (n=1)
No
Cardiac metastasis from cervical cancer is rare but can be detected via PET-CT and managed with supportive care if further treatment is refused.
Raises awareness for cardiac metastasis in cervical cancer; leaves open optimal surveillance and management strategies.
Metastasis of cervical carcinoma to the heart is uncommon. Most cases are found during autopsy. These type of metastasis occur mostly in epicardium and myocardium. We present a case report of a patient with carcinoma cervix stage IIIB who presented to the hospital with pitting edema of right lower limb, post 1 year of completion of treatment. PET-CT scan showed FDG avid inguinal, iliac and retroperitoneal lymph nodes, which were bulky on right side causing pedal edema. There was FDG avid uptake seen in right atrial wall and in the atrioventricular groove indicative of metastasis to the heart. Patient refused biopsy or further treatment and hence received best supportive care only. She had a disease free survival of 12 months, and survived for 11 months after being diagnosed with recurrence. Overall survival was 23 months.
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Sasidharan et al. (2015) conducted a case report in Cardiac metastasis in cervical cancer (n=1). Best supportive care was evaluated on Survival after diagnosis of cardiac metastasis. A 47-year-old female with stage IIIB cervical cancer developed rare cardiac metastasis 12 months post-treatment and survived for 11 months with best supportive care.
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