Right ventricular metastasis of uterine cervical cancer: A case report

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Acta Facultatis Medicae Naissensis Pub Date : 2023-01-01 DOI:10.5937/afmnai40-39597
Milovan Stojanović, Bojan Ilić, Dragan Marinković, Sandra Šarić, Dejan Hristov, Marina Deljanin-Ilić
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Abstract

Introduction. Cardiac metastasis of uterine cervical cancer diagnosed prior to mortality (antemortem) is extremely rare. Case report. A female patient 49 years old was brought to the Emergency Department of the Institute for Treatment and Rehabilitation Niška Banja in cardiac arrest, without a pulse and blood pressure. An electrocardiogram revealed sustained ventricular tachycardia, which was terminated by two DC shocks (100J + 150J). Anamnesis and medical history revealed that she had had her squamous cell carcinoma of the uterine cervix removed and had subsequently received seven out of ten planned cycles of chemotherapy and twenty-eight cycles of radiotherapy. The patient was then transferred to the Coronary Unit, where cardiac ultrasound was performed. A homogenous mass measuring 31 x 50 mm was found in the right ventricle. In view of this, cardiac magnetic resonance imaging was performed. This confirmed the presence of the tumor mass in the right ventricle. Unfortunately, only a month after being discharged from our Institute, the patient was admitted to the Clinic of Neurology due to a loss of consciousness. Computer tomography of endocranium was performed revealing metastatic brain lesions. The patient succumbed to the disease just a couple of months later. Conclusion. We presented a rare case of antemortem diagnosed right ventricle metastases in a patient with uterine cervical cancer. Setting the diagnosis in these patients is a challenge in everyday clinical practice since metastases can produce the clinical picture that masks the real etymology of uterine cervical cancer.
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子宫颈癌右心室转移1例
介绍。子宫癌心脏转移在死亡前(死前)诊断是极为罕见的。病例报告。一名49岁的女病人被送到治疗和康复研究所Niška Banja急诊科,当时心脏骤停,没有脉搏和血压。心电图显示持续性室性心动过速,经两次直流电击(100J + 150J)终止。记忆和病史显示,她已经切除了宫颈鳞状细胞癌,随后接受了10个计划周期中的7个化疗周期和28个周期的放疗周期。病人随后被转移到冠状动脉病房,在那里进行心脏超声检查。右心室内发现一31 × 50 mm的均匀肿块。鉴于此,我们进行了心脏磁共振成像。这证实了右心室肿瘤肿块的存在。不幸的是,出院仅一个月后,患者就因意识丧失住进了神经内科。颅腔计算机断层扫描显示转移性脑病变。仅仅几个月后,病人就死于这种疾病。结论。我们报告一例罕见的死前诊断为右心室转移的宫颈癌患者。对这些患者的诊断在日常临床实践中是一个挑战,因为转移可以产生掩盖子宫颈癌真正词源的临床图像。
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来源期刊
Acta Facultatis Medicae Naissensis
Acta Facultatis Medicae Naissensis MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
0.00%
发文量
13
审稿时长
12 weeks
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