Abstract
Pericardial metastasis from recurrent cervical cancer is very rare. There have been few case reports of such cases in which antemortem diagnoses were established. Cases of additional abdominal muscular metastasis have not been reported previously, although a small number of cases of additional skin metastasis have been reported. A 64-year-old woman with intermittent vaginal bleeding was referred under the clinical impression of cervical cancer. Further investigation revealed a cervical cancer (FIGO stage Ib), and she underwent a radical hysterectomy followed by adjuvant concurrent chemoradiation. During the post-operative follow-up period of 6 months, pericardial and abdominal muscular metastases were developed along with the symptoms of dry cough and dyspnea. We recommended a palliative pericardial window, but the patient rejected it. Although palliative radiation therapy and chemotherapy were performed for the control of the metastases, she expired due to cardiac failure 16 months after the operation. The prognosis of patients with pericardial and abdominal wall metastases from recurrent cervical cancer is usually poor because of the systemic dissemination of the disease. Aggressive local and systemic treatments may provide significant palliation of associated symptoms.
Similar content being viewed by others
References
Klatt EC, Heitz DR (1990) Cardiac metastases. Cancer 65:1456–1459
Inamura K, Hayashida A, Kaji Y et al (2004) Recurrence of cervical carcinoma manifesting as cardiac metastasis three years after curative resection. Am J Med Sci 328:167–169
Press OW, Livingston R (1987) Management of malignant pericardial effusion and tamponade. JAMA 257:1088–1092
Davis S, Rambotti P, Grignani F (1984) Intrapericardial tetracycline sclerosis in the treatment of malignant pericardial effusion: an analysis of thirty-three cases. J Clin Oncol 2:631–636
Jamshed A, Khafaga Y, El-Husseiny G et al (1996) Percardial metastasis in carcinoma of the uterine cervix. Gynecol Oncol 61:451–453
Park JS, Rentschler R, Wilbur D (1991) Surgical management of pericardial effusion in patients with malignancies : comparision of subxiphoid window versus pericardiectomy. Cancer 67:76–80
Potter ME, Hatch KD, Potter MY et al (1989) Factors affecting the response of recurrent squamous cell carcinoma of the cervix to cisplatin. Cancer 63:1283–1286
Swanepoel E, Apffelstaedt JP (1997) Malignant pericardial effusion in breast cancer: terminal event or treatbale complication? J Surg Oncol 64:308–311
Nelson BE, Rose PG (1993) Malignant pericardial effusion from squamous cell cancer of the cervix. J Surg Oncol 52:203–206
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kim, H.S., Park, NH. & Kang, SB. Rare metastases of recurrent cervical cancer to the pericardium and abdominal muscle. Arch Gynecol Obstet 278, 479–482 (2008). https://doi.org/10.1007/s00404-008-0602-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-008-0602-y