Metastatic squamous cell carcinoma causing right ventricular outflow tract obstruction
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A 50-year-old woman presented with two syncopal episodes 7 months after resection of squamous cell carcinoma (SCC) of the base of the mouth. Investigation for metastatic disease at the time of diagnosis was negative. She had been immunosuppressed for 19 years with azathioprine and prednisolone after renal transplantation. A new loud …