CTICasesCardiac Metastasis from Cervical Cancer
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Imaging findings
Cardiac MRI reveals a very large, heterogeneously enhancing mass with central necrosis in the lateral segments, alongside a smaller lesion at the right ventricular apex. Both lesions demonstrate significant enhancement on perfusion and delayed post-contrast images, with the central necrosis representing non-enhancing fluid. A PET scan confirmed the avidly FDG-avid nature of these lesions.
Key takeaways
Cardiac metastases, though often subclinical, can present as macroscopic masses within the heart, mimicking primary cardiac tumors. A history of malignancy, even remote (e.g., cervical cancer 10-12 years prior), should strongly suggest metastatic disease. Imaging features like heterogeneous enhancement and central necrosis are common, and PET can confirm metabolic activity.
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