Intracardiac metastasis from unknown uterine cervical cancer with severe thrombocytopenia

• DOI: 10.1111/jocs.14362
• Publication Date: 2019-11-25T14:36:30Z
• Authors: Mio Kasai; Motohiko Osako; Toshiyuki Yamada; Masataka Adachi; Hiroshi Yamashita; Mami Hatano; Atsunori Yorozu
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

INTRODUCTION Cardiac metastasis is relatively common in malignant neoplasms, such as lung cancers, breast cancers, melanomas, lymphomas, and leukemias. In contrast, cardiac metastasis of uterine cervical cancer, solitary metastasis to the heart, and tumors inducing severe thrombocytopenia are rare. CASE REPORT The present patient was a 52-year-old female who was diagnosed with a solitary cardiac tumor prior to uterine cervical cancer and presented with severe thrombocytopenia. Our case had two remarkable aspects: 1) successful treatment under the condition of severe thrombocytopenia in association with the presence of a cardiac tumor, and survival without recurrence of the carcinoma one year after surgery; and 2) a solitary cardiac metastatic tumor larger than the primary uterine cervix carcinoma. COMMENT we report an extremely rare case of solitary cardiac metastasis of uterine cervical cancer, which wassuccessfully treated. One year after cardiac surgery, the patient is alive without recurrence of the carcinoma.