Frontiers in oncology · 2026
Case Report: A case of right ventricular metastasis from cervical cancer presenting with thrombocytopenia: the role of echocardiography and myocardial contrast echocardiography.
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Yang Qian, Bai Dong, Bao Liming, Liang Lei, Hou Haijun
Аннотация
BACKGROUND: Cardiac metastasis from cervical cancer is rare and often presents with nonspecific symptoms, leading to diagnostic delays. This case highlights the role of myocardial contrast echocardiography (MCE) in detecting such metastases in long-term cervical cancer survivors.
CASE PRESENTATION: A 63-year-old female with a history of cervical cancer treated 11 years ago presented with thrombocytopenia and respiratory symptoms. Imaging revealed a mobile mass in the right ventricle extending into the pulmonary artery. MCE showed peripheral rim enhancement, indicative of a necrotic malignant tumor, confirmed as metastatic squamous cell carcinoma.
THERAPEUTIC INTERVENTION: The patient underwent surgical resection of the right ventricular mass and tricuspid valvuloplasty. Her thrombocytopenia resolved post-surgery, and no further oncological treatment was needed.
CONCLUSION: MCE is a valuable tool for diagnosing cardiac metastases, especially in cervical cancer survivors. This case underscores the need for long-term follow-up and imaging surveillance due to the risk of delayed and atypical metastasis.
CASE PRESENTATION: A 63-year-old female with a history of cervical cancer treated 11 years ago presented with thrombocytopenia and respiratory symptoms. Imaging revealed a mobile mass in the right ventricle extending into the pulmonary artery. MCE showed peripheral rim enhancement, indicative of a necrotic malignant tumor, confirmed as metastatic squamous cell carcinoma.
THERAPEUTIC INTERVENTION: The patient underwent surgical resection of the right ventricular mass and tricuspid valvuloplasty. Her thrombocytopenia resolved post-surgery, and no further oncological treatment was needed.
CONCLUSION: MCE is a valuable tool for diagnosing cardiac metastases, especially in cervical cancer survivors. This case underscores the need for long-term follow-up and imaging surveillance due to the risk of delayed and atypical metastasis.