The heart is not too noble to host a metastatic tumor! A right ventricle metastasis of a transitional cell carcinoma of the bladder

Urine analysis was positive for erythrocytes and leukocytes, which confirmed the diagnosis of urinary tract infection. There was a 5 cm wide cystic lesion in the anterior mediastinum, adjacent to the left lung and the large blood vessels, histologically a WHO type A thymoma (with cystic change). Tumours with relatively frequent cardiac metastases are in descending order: carcinomas of the lung, the breast and the oesophagus, malignant lymphoma, leukaemia, and malignant melanoma [4].