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.