Table 1.
Case reports of vulvar cancer metastasizing to heart.
| Hanbury WJ (Hanbury, 1960) | Htoo MM et al. (Htoo and Nanton, 1973) | Present case | |
|---|---|---|---|
| Age (years) | 63 | 70 | 50 |
| Initial treatment | Radical vulvectomy | Vulvectomy | Left partial vulvectomy |
| Inguinal lymphadenopathy | Present | Unknown | Absent |
| Histological type of vulvar cancer | Squamous cell cancer | Squamous cell cancer | Squamous cell cancer |
| Time to recurrence | 7 months | 4 months | 10 months |
| Location of cardiac metastasis | Numerous metastases in epicardium, myocardium and endocardium | Atrioventricular groove and right atrial subendocardium | Right ventricular endocardium, myocardium and intracavitary |
| Clinical presentation of cardiac metastasis | Atrial fibrillation | Complete heart block | No cardiac manifestations; pulmonary thromboembolism |
| Treatment of recurrence | None | None | Tumor debulking |
| Outcome | Died on presentation | Died on presentation | Died after failure of chemo- and immunotherapy |