Cardiac metastasis in cervical cancer
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Metastasis of cervical carcinoma to the heart is uncommon. Most cases are found during the 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. The PET-CT scan showed FDG avid inguinal, iliac and retroperitoneal lymph nodes, which were bulky on the right side causing pedal edema. There was FDG avid uptake seen in the right atrial wall and in the atrioventricular groove indicative of metastasis to the heart. The 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 a recurrence. Overall survival was 23 months.

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