CASE REPORT article
Front. Oncol.
Sec. Cardio-Oncology
A Case of Right Ventricular Metastasis from Cervical Cancer Presenting with Thrombocytopenia:The Role of Echocardiography and Myocardial Contrast Echocardiography
Qian Yang 1
Dong Bai 2,1
Liming Bao 1
Lei Liang 1
Haijun Hou 1
1. Aerospace Center Hospital, Beijing, China
2. Department of Radiology, Aerospace Center Hospital, Beijing, China
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Abstract
Background Cardiac metastasis from cervical cancer is rare and often presents with nonspecific symptoms, leading to diagnostic delays. This case highlights the role of myocardial contrast echocardiography (MCE) in detecting such metastases in long-term cervical cancer survivors. Case Presentation A 63-year-old female with a history of cervical cancer treated 11 years ago presented with thrombocytopenia and respiratory symptoms. Imaging revealed a mobile mass in the right ventricle extending into the pulmonary artery. MCE showed peripheral rim enhancement, indicative of a necrotic malignant tumor, confirmed as metastatic squamous cell carcinoma. Therapeutic Intervention The patient underwent surgical resection of the right ventricular mass and tricuspid valvuloplasty. Her thrombocytopenia resolved post-surgery, and no further oncological treatment was needed. Conclusion MCE is a valuable tool for diagnosing cardiac metastases, especially in cervical cancer survivors. This case underscores the need for long-term follow-up and imaging surveillance due to the risk of delayed and atypical metastasis.
Summary
Keywords
Echocardiography, Heart Neoplasms, Myocardial contrast echocardiography, Neoplasm Metastasis, Uterine Cervical Neoplasms
Received
24 December 2025
Accepted
20 February 2026
Copyright
© 2026 Yang, Bai, Bao, Liang and Hou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Dong Bai; Haijun Hou
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