A rare case of cardiac metastasis from uterine cervical adenocarcinoma

Abstract Metastatic cardiac tumors are rare and are usually from lung, breast, and esophageal cancers. Although uterine cervical cancer is relatively common, its metastasis to the heart is extremely rare. Herein, we report an unusual case of metastatic cervical adenocarcinoma to the heart presenting with a huge right atrial mass and tamponade. The cardiac mass was surgically resected and pathologic study with immunohistochemistry staining confirmed the diagnosis. Learning objective: Metastatic cardiac tumors are rare. They usually originate from lung, breast, and esophageal cancers and mostly involve the pericardium and myocardium. The endocardium is rarely affected. Cervical cancer is one of the most common gynecologic cancers with a relatively favorable prognosis unless it metastasizes to distant organs. Metastases to the heart are rarely reported. The patient may be asymptomatic or present with hemodynamic instability due to tamponade state and/or a huge intracardiac mass.