{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T13:37:01Z","timestamp":1771076221903,"version":"3.50.1"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T00:00:00Z","timestamp":1694649600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>We report a case of a 47-year-old woman with right atrial metastasis of endometrioid adenocarcinoma, which is an uncommon clinical presentation for patients with endometrial cancer (EC). The principal aim of this case is to demonstrate the possibility of distant metastasis, something rarely encountered among this group of patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>Our patient, diagnosed with EC and receiving chemotherapy and radiotherapy after surgery, was found to have enhanced 18-fluorodeoxyglucose uptake inside the right atrium on the repeat positron emission tomography\u2013computed tomography scan at the ninth month after initial diagnosis. Following trans-oesophageal echocardiography, cardiac magnetic resonance imaging showed a hyper-vascular mass with right atrial lateral wall involvement likely to be malignant in nature. A right atrial tumour was successfully removed by cardiovascular surgeons, and a pericardial patch was placed at the site of the excised atrium. The pathological examination showed EC metastasis. Following surgery, systemic treatment was planned for recurrent EC. The patient had an uneventful recovery after the surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Endometrial cancer is the most common gynaecologic malignancy and the fourth most common cancer in women. The lymphatic pathway is the main metastatic behaviour of EC; however, haematogenous metastases are not uncommon, especially in patients with higher stages of the disease. Our patient did not show any signs and symptoms of cardiac involvement. Nevertheless, clinicians should be alert for symptoms of cardiac involvement like new-onset murmur, embolism, or dyspnoea. Having known the behavioural pattern of the primary tumour, timely utilization of diagnostic imaging methods in accordance with clinical suspicions in patients with rapidly growing tumours can be lifesaving.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytad461","type":"journal-article","created":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T22:16:10Z","timestamp":1694729770000},"source":"Crossref","is-referenced-by-count":1,"title":["Case report\u2014right atrial mass: a very rare presentation of endometrial cancer metastasis"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6191-4493","authenticated-orcid":false,"given":"Emre","family":"Erturk","sequence":"first","affiliation":[{"name":"Department of Cardiology, Izmir University of Economics Medicalpoint Hospital , Imbatli Mah., 1825 sokak, No:12, Izmir 35575 , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9509-6997","authenticated-orcid":false,"given":"Onur","family":"Soyler","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Izmir University of Economics Medicalpoint Hospital , Izmir , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7702-855X","authenticated-orcid":false,"given":"Fatma Seher","family":"Pehlivan","sequence":"additional","affiliation":[{"name":"Mikro Private Pathology Laboratory , Izmir , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3783-7432","authenticated-orcid":false,"given":"Cagatay","family":"Arslan","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Izmir University of Economics Medicalpoint Hospital , Izmir , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,9,14]]},"reference":[{"key":"2023101210010250300_ytad461-B1","first-page":"468","article-title":"Diagnosis and management of endometrial cancer","volume":"93","author":"Braun","year":"2016","journal-title":"Am Fam Physician"},{"key":"2023101210010250300_ytad461-B2","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.1016\/S0140-6736(15)00130-0","article-title":"Endometrial cancer","volume":"387","author":"Morice","year":"2016","journal-title":"Lancet"},{"key":"2023101210010250300_ytad461-B3","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1006\/gyno.2000.6111","article-title":"Routes of lymphatic spread: a study of 112 consecutive patients with endometrial cancer","volume":"81","author":"Mariani","year":"2001","journal-title":"Gynecol Oncol"},{"key":"2023101210010250300_ytad461-B4","doi-asserted-by":"crossref","first-page":"e17109","DOI":"10.1200\/JCO.2019.37.15_suppl.e17109","article-title":"Patterns of distant metastases in patients with endometrial carcinoma: a SEER population-based analysis","volume":"37","author":"Li","year":"2019","journal-title":"J Clin Oncol"},{"key":"2023101210010250300_ytad461-B5","first-page":"138","article-title":"Cardiac metastasis secondary to endometrial cancer: an extremely rare presentation","volume":"32","author":"Oliveira","year":"2019","journal-title":"Arq Bras Cardiol Imagem cardiovasc"},{"key":"2023101210010250300_ytad461-B6","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1007\/s13139-014-0265-5","article-title":"Diagnosis of cardiac metastasis from endometrial cancer by F-18 FDG-PET\/CT","volume":"48","author":"Liu","year":"2014","journal-title":"Nucl Med Mol Imaging"},{"key":"2023101210010250300_ytad461-B7","doi-asserted-by":"crossref","first-page":"e17584","DOI":"10.1097\/MD.0000000000017584","article-title":"Endometrial carcinoma complicated by malignant pericardial effusion: a case report on the therapeutic regimen","volume":"98","author":"Liu","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"2023101210010250300_ytad461-B8","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.ygyno.2004.12.052","article-title":"Endometroid adenocarcinoma of the uterus with cardiac metastasis. 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