Togo Atsuko, Muramatsu Toshinari, Tsukada Hitomi, Ikeda Masae, Shida Masako, Hirasawa Takeshi, Maeda Hironobu, Mikami Mikio
Department of Obstetrics and Gynecology, Tokai University Hachioji Hospital, School of Medicine, 1838 Ishikawamachi, Hachioji, Tokyo 192-0032, Japan.
Tokai J Exp Clin Med. 2013 Apr 20;38(1):42-5.
Metastasis of uterine cervical carcinoma to the heart is uncommon and cases with metastasis to the right atrium are especially rare. This type of metastasis occurs in the epicardium and the myocardium in over 90% of cases with a heart metastatic tumor. Most cases of a metastatic tumor in the heart are found by chance during autopsy.
We present the case of a patient with stage IIa uterine cervical carcinoma who visited our hospital with a chief complaint of arrhythmia 1.9 years after surgical treatment of carcinoma. CT and MRI showed that recurrent metastatic uterine cervical carcinoma had grown from the inferior vena cava upward into the right atrium.
Although gynecological malignant tumors rarely metastasize to the heart, it is important to consider this possibility in patients with chest symptoms, and to make an early definite diagnosis and give appropriate treatment.
子宫颈癌转移至心脏并不常见，转移至右心房的病例尤为罕见。在心脏转移性肿瘤病例中，超过90%的此类转移发生于心外膜和心肌。大多数心脏转移性肿瘤病例是在尸检时偶然发现的。
我们报告一例IIa期子宫颈癌患者，该患者在子宫颈癌手术治疗1.9年后因心律失常为主诉前来我院就诊。CT和MRI显示，复发性转移性子宫颈癌已从下腔静脉向上生长至右心房。
尽管妇科恶性肿瘤很少转移至心脏，但对于有胸部症状的患者，考虑到这种可能性并进行早期明确诊断及给予适当治疗很重要。
