Sasidharan Ajay, Hande Vinod, Mahantshetty Umesh, Shrivastava Shyam Kishore
Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, India.
BJR Case Rep. 2016 May 25;2(2):20150300. doi: 10.1259/bjrcr.20150300. eCollection 2016.
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.
宫颈癌转移至心脏并不常见。大多数病例是在尸检时发现的。这类转移大多发生在心外膜和心肌。我们报告一例IIIB期宫颈癌患者的病例，该患者在完成治疗1年后因右下肢凹陷性水肿入院。PET-CT扫描显示腹股沟、髂部和腹膜后淋巴结有FDG摄取，右侧肿大导致足部水肿。右心房壁和房室沟有FDG摄取，提示心脏转移。患者拒绝活检或进一步治疗，因此仅接受了最佳支持治疗。她无病生存12个月，在诊断复发后存活了11个月。总生存期为23个月。
