Mohammad Mohammadianpanah - Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Hamid Nasrollahi - Radiation Oncology Department, Shiraz University of Medical Sciences, Shiraz, Iran
Mohammad Reza Sasani - Medical Imaging Research Center, Department of Radiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Vahid Zangouri - Breast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Nadereh Shamsolvaezin - Clinical and Anatomical Pathologist, Kowsar Hospital, Shiraz, Iran
Seyed Hassan Hamedi - Radiation Oncology Department, Shiraz University of Medical Sciences, Shiraz, Iran
Mansour Ansari - Breast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Niloofar Ahmadloo - Radiation Oncology Department, Shiraz University of Medical Sciences, Shiraz, Iran
Shapour Omidvari - Breast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Ahmad Mosalaei - Shiraz Institute for Cancer Research, Shiraz University of Medical Sciences, Shiraz, Iran

We report a case of colon cancer with pancreatic and interesting heart metastasis several months prior to disseminated metastases. The case was a ۵۹-year-old man with a cecal cancer (T۴N۲); he received chemotherapy with XELOX regimen and then radiotherapy up to a dose of ۴۵ Gy. He was under close and regular follow-up. After ۴۲ months, he developed jaundice and computed tomography (CT) scan showed an isolated mass in the pancreas. We performed Whipple’s operation and the pathology report was pancreatic metastasis. He received chemotherapy and was relatively well until his CEA rose again and the chest CT scan indicated cardiac metastasis. We resected the metastasis and administered chemotherapy. Unfortunately, the case developed brain metastasis and passed away. We searched the literature and found ۱۵ cases of colon cancer and cardiac metastasis. We found no cases with metastasis from colon cancer to the left side. Although cardiac metastasis has a poor prognosis, it might be more prevalent than what is generally believed.

Heart, Metastasis, Colon Cancer