Metastatic tumor of squamous cell carcinoma from uterine cervix to heart: ante-mortem diagnosis.

Autor: Ferraz JG; Hospital Universitario Evangelico de Curitiba, Curitiba, PR, Brazil. jgferraz@yahoo.com.br, Martins AL, de Souza JF, Matos A, Canto AP, Martins AM
Jazyk: English; Portuguese
Zdroj: Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2006 Oct; Vol. 87 (4), pp. e104-7.
DOI: 10.1590/s0066-782x2006001700025
Abstrakt: Sixty-three-year-old woman with a past medical history of uterine cancer and complaint of fatigue and dyspnea on mild exertion. Physical examination revealed hypertension and rales at lung bases. A transthoracic echocardiogram showed a mass with reduced mobility in the right ventricle. The patient was taken to surgery during which a mass involving the anterior wall of the pulmonary artery, tricuspid valve, right atrium, and posterior wall of the right ventricle was found. The pulmonary artery and the right ventricle were reconstructed with a bovine pericardium patch and the tricuspid valve was replaced by a number-31 biological prosthesis. The pathological examination revealed metastasis of squamous cells with well-differentiated infiltrative areas. The patient was discharged one month after surgery. Four months later, however, she was readmitted to hospital in terminal stage, confirming the guarded prognosis of the disease at this stage.
Databáze: MEDLINE