Manuscript:
A 74-year-old woman with a history of cervical cancer presented with dry cough. Her physical examination revealed tachycardia, pallor, and purpura. Transthoracic echocardiography and cardiac computed tomography revealed various masses and irregular wall thickening in the right ventricle extending into the right atrium and pulmonary artery (Videos S1 and S2). Metastatic tumour with disseminated intravascular coagulation was considered based on elevated squamous cell carcinoma antigen and cytokeratin-19 fragment levels. She died within a few days of receiving palliative care at home after multidisciplinary treatment.
Metastatic heart tumours have poor prognosis; therefore, clinicians should be prepared for potential circulatory complications1, 2.