Key result
Multimodal imaging including echocardiography, CT, and MRI successfully identified a rare transmural cardiac metastasis in a 33-year-old woman with a history of cervical cancer in remission.
Case Report (n=1)
Multimodal imaging, including echocardiography, CT, and MRI, plays a paramount role in the complete work-up and diagnosis of rare intracardiac lesions such as cardiac metastases.
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Multimodal imaging may aid detection of rare cardiac metastases in cancer survivors; leaves open standardized protocols pending larger studies.
We report a case of a 33-year-old woman with emergency admission due to dyspnoea and fever. History included squamous cell carcinoma of the cervix in complete remission. Contrast-enhanced computed tomography (CT) scanning of the chest, which was indicated to rule out pneumonia, revealed an infiltrative cardiac mass. Further assessment of the tumour by echocardiography and cardiac magnetic resonance imaging (MRI) showed transmural infiltration of the apical interventricular septum with a mass extending into the left and right ventricle cavities. The mass was highly suspicious for a cardiac metastasis. Cardiac metastases from cervical cancer are extremely rare. Recurrence of cervical carcinoma involving the heart should be considered even after a curative therapy approach. Non-invasive imaging plays a paramount role in investigating cardiac masses. Echocardiography, CT and MRI are complementary imaging modalities for complete work-up of intracardiac lesions.
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Schawkat et al. (2014) conducted a case report in Cardiac metastasis from cervical cancer (n=1). Multimodal imaging (Echocardiography, CT, MRI) was evaluated on Diagnosis of cardiac metastasis. Multimodal imaging including echocardiography, CT, and MRI successfully identified a rare transmural cardiac metastasis in a 33-year-old woman with a history of cervical cancer in remission.
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