Cardiac sarcoma

Authors: Golukhova Е.Z., Shamsiev G.А., Kubova М.Ch., Bulaeva N.I., Efendiеva А.S., Fedenko А.А.

Company: 1 Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, 121552, Russian Federation
2 P. Hertsen Moscow Oncology Research Institute – Branch of National Medical Research Radiological Centre, Moscow, 125284, Russian Federation

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Type:  Case reports


DOI: https://doi.org/10.24022/1997-3187-2020-14-4-407-414

For citation: Golukhova Е.Z., Shamsiev G.А., Kubova М.Ch., Bulaeva N.I., Efendiеva А.S., Fedenko А.А. Cardiac sarcoma. Creative Cardiology. 2020; 14 (4): 407–14 (in Russ.). DOI: 10.24022/1997-3187-2020-14-4-407-414

Received / Accepted:  09.11.2020 / 17.11.2020

Keywords: primary heart tumors cardiac sarcoma malignant neoplasms of the heart

Full text:  

 

Abstract

The article presents the case of primary cardiac sarcoma in a 56-year-old woman who was initially considered as a benign neoplasm. The patient was admitted without any clinical manifestations of heart or respiratory failure. A mass of the left atrium was discovered by chance. At the Bakoulev Center, the patient underwent a clinical and diagnostic examination, the results of which did not reveal any changes that made one think about the malignant transformation of the neoplasm. The patient was planned for surgical intervention to remove the mass of the left atrium. In the left atrium was found a neoplasm measuring 7 × 2 cm of dense mucous consistency, yellow-brown in color, in the capsule, prolapsing into the cavity of the left ventricle through the mitral valve. The tumor was removed. Histological analysis revealed poorly differentiated polymorphic cell sarcoma. The early postoperative period was uneventful. The patient was referred for a consultation with oncologists and is currently under the supervision of our colleagues, received 4 courses of chemotherapy. Despite advances in imaging techniques and their growing clinical availability, in most cases, malignant neoplasms of the heart are diagnosed too late. It happenes cause of nonspecificity, and sometimes the absence of symptoms. The prognosis of patient survival is no more than 12 months from the moment of diagnosis.

References

  1. Burke A.P., Cowan D., Virmani R. Primary sarcomas of the heart. Cancer. 1992; 69: 387–95. DOI: 10.1002/1097-0142(19920115)69:2<387::AIDCNCR2820690219>3.0.CO;2-N
  2. Mutema Ch.A., Bockeria L.A., Mironenko V.A., Serdyukov A.S. Eleven years of experience in the treatment of rare forms of primary benign and malignant heart tumors in the Bakoulev Center. The Bulletin of Bakoulevv Center. Cardiovascular Diseases. 2018; 19 (6): 39 (in Russ.)
  3. Watson R., Frye J., Trieu M., Yang M.X. Primary undifferentiated pleomorphic cardiac sarcoma with MDM2 amplification presenting as acute leftsided heart failure. BMJ Case Reports. 2018; 226073. DOI: 10.1136/bcr-2018-226073
  4. Oliveira R., Branco L., Galrinho A., Abreu A., Abreu J., Fiarresga A. et al. Cardiac myxoma: a 13- year experience in echocardiographic diagnosis. Rev. Port. Cardiol. 2010; 29 (7–8): 1087–100.
  5. Neragi-Miandoab S., Kim J., Vlahakes G.J. Malignant tumours of the heart: a review of tumour type, diagnosis and therapy. Clin. Oncol. 2007; 19 (10): 748–56. DOI: 10.1016/j.clon.2007.06.009
  6. Baumgartner R.A., Das S.K., Shea M., LeMire M.S., Gross B.H. The role of echocardiography and CT in the diagnosis of cardiac tumors. Int. J. Cardiac Imag. 1988; 3 (1): 57–60. DOI: 10.1007/bf01801645
  7. Hoffmeier A., Sindermann J.R., Scheld H.H., Martens S. Cardiac tumors – diagnosis and surgical treatment. Dtsch Aerztebl. Int. DOI: 10.3238/arztebl.2014.0546b
  8. Chen T.W.-W., Loong H.H., Srikanthan A., Zer A., Barua R., Butany J. et al. Primary cardiac sarcomas: a multi-national retrospective review. Cancer Medicine. 2019; 8 (1): 104–10. DOI: 10.1002/cam4.1897
  9. Hoffmeier A., Sindermann J.R., Scheld H.H., Martens S. Cardiac tumors – diagnosis and surgical treatment. Dtsch Arztebl. Int. 2014; 111 (12): 205–11. DOI: 10.3238/arztebl.2014.0205
  10. Devbhandari M.P., Meraj S., Jones M.T., Kadir I., Bridgewater B. Primary cardiac sarcoma: reports of two cases and a review of current literature. J. Cardiothorac. Surg. 2007; 2 (1). DOI: 10.1186/1749-8090-2-34
  11. Pessotto R., Silvestre G., Battista Luciani G., Anselmi M., Pasini F., Santini F., Mazzucco A. Primary cardiac leiomyosarcoma: seven-year survival with combined surgical and adjuvant therapy. Int. J. Cardiol. 1997; 60 (1): 91–4. DOI: 10.1016/s0167-5273(97)02956-2
  12. Park K.S., Song B.G., Ok K.S., Park D.W., Jung H.-J., Kwak M.O. et al. Primary cardiac angiosarcoma treated by complete tumor resection with cardiac reconstruction. Heart Lung J. Cardiopul. Acute Care. 2011; 40 (3): e41–3. DOI: 10.1016/j.hrtlng. 2010.07.006
  13. Gupta A. Primary cardiac sarcomas. Exp. Rev. Cardiovasc. Ther. 2008; 6 (10): 1295–7. DOI: 10.1586/14779072.6.10.1295
  14. Butany J., Nair V., Naseemuddin A., Nair G.M., Catton C., Yau T. Cardiac tumours: diagnosis and management. Lancet Oncol. 2005; 6 (4): 219–28. DOI: 10.1016/s1470-2045(05)70093-0
  15. Fatima J., Duncan A.A., Maleszewski J.J., Kalra M., Oderich G.S., Gloviczki P. et al. Primary angiosarcoma of the aorta, great vessels, and the heart. J. Vasc. Surg. 2013; 57 (3): 756–64. DOI: 10.1016/j.jvs.2012.09.023
  16. Ibrahim A., Luk A., Singhal P., Wan B., Zavodni A., Cusimano R.J., Butany J. Primary intimal (spindle cell) sarcoma of the heart: a case report and review of the literature. Case Rep. Med. 2013; 2013. DOI: 10.1155/2013/461815
  17. Hoffmeier A., Schmid C., Deiters S., Drees G., Rothenburger M., Tjan T.D. et al. Neoplastic heart disease – the muenster experience with 108 patients. Thorac. Cardiovasc. Surg. 2005; 53 (1): 1–8. DOI: 10.1055/s-2004-830389
  18. Reardon M.J., Malaisrie S.C., Walkes J.-C., Vaporciyan A.A., Rice D.C., Smythe W.R. et al. Cardiac autotransplantation for primary cardiac tumors. Ann. Thorac. Surg. 2006; 82 (2): 645–50. DOI: 10.1016/j.athoracsur.2006.02.086
  19. Zhang G., Gao Q., Chen S., Chen Y. Primary cardiac synovial sarcoma that was continuous with the mitral valve caused severe thrombocytopenia: a case report. J. Cardiothorac. Surg. 2019; 14 (30). DOI: 10.1186/s13019-019-0852-8
  20. Überfuhr P., Meiser B., Fuchs A., Schulze C., Reichenspurner H., Falk M. et al. Heart transplantation: an approach to treating primary cardiac sarcoma? J. Heart Lung Transp. 2002; 21 (10): 1135–9. DOI: 10.1016/s1053-2498(02)00409-6
  21. Shariff M.A., Abreu J.A., Durrani F., Daniele E., Bowman K.C., Sadel S. et al. Hyperplastic cardiac sarcoma recurrence. Case Rep. Surg. 2015; 2015. DOI: 10.1155/2015/132328
  22. Loukas M. Primary cardiac angiosarcoma – a review. Med. Sc. Mon. 2014; 20: 103–9. DOI: 10.12659/msm.889875
  23. Wang J.G., Li Y.J., Liu H., Zhao P. Primary cardiac myxofibrosarcoma: a case report and review of the literature. Tumori. 2012; 98: 165e–8e. DOI: 10.1700/1217.13514
  24. Moeri-Schimmel R., Pras E., Desar I., Krol S., Braam P. Primary sarcoma of the heart: case report and literature review. J. Cardiothorac. Surg. 2020; 15 (1). DOI: 10.1186/s13019-020-01157-4

About Authors

  • Elena Z. Golukhova, Dr. Med. Sc., Professor, Academician of RAS, Chief of Chair, Acting Director, Deputy Chief Editor of the Journal, ORCID
  • Gufron A. Shamsiev, Dr. Med. Sc., Leading Researcher, Cardiovascular Surgeon, ORCID
  • Maida Ch. Kubova, Researcher, Cardiologist, ORCID
  • Naida I. Bulaeva, Cand. Biol. Sc., Senior Researcher, Cardiologist, ORCID
  • Anastasiya S. Efendieva, Clinical Resident, ORCID
  • Aleksandr A. Fedenko, Dr. Med. Sc., Head of Department of Drug Treatment, ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery