Facial, Neck Swelling

She returns two years later with facial and neck swelling.

Figure 1. Pericardial soft-tissue mass infiltrating the atriocaval junction and SVC and surrounding the right anterolateral aortic root. The mass completely encompasses the RCA origin and encroaches upon the left atrium.

Figure 2. Post aggressive chemotherapy, 6 months later there is decreased tumor thrombus in the SVC with interval decrease in the pericardial mass. There has been interval development of a right pleural effusion.

Diagnosis: Metastatic cervical squamous cell carcinoma to the pericardium with extension into the IVC

ervical SCC is the most common gynecological cancer and the second most common cancer in women in the world.