Pericardial sarcoma: Difficulties in diagnostic search


DOI: https://dx.doi.org/10.18565/therapy.2024.4.129-134

Tatarintseva Z.G., Palshkova A.D., Barbukhatti K.O., Babicheva O.V.

1) Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1 of the Ministry of Healthcare of the Krasnodar region, Krasnodar; 2) Kuban State Medical University of the Ministry of Healthcare of Russia, Krasnodar
Abstract. Primary malignant cardiac tumors are rare, their prevalence is approximately 0.01% among all cancer histotypes. At least 60% of them are primary cardiac soft tissue sarcomas. The prognosis for patients with sarcoma is severe and mainly depends on the primary location of tumor, problematic achieving its complete surgical and pharmacological eradication, as well as the aggressiveness of the oncological process. The article provides a review of the literature on the most pressing issues concerning primary soft tissue cardiac sarcoma, and highlights potential future diagnostic and therapeutic perspectives. A clinical case of pericardial sarcoma in a 62-year-old female patient is presented. The duration and complexity of diagnostic search are described, and the importance of alertness of cardiologists and doctors of related specialties for cardiac formations, in particular pericardial formations, is emphasized.

Literature


1. Rahouma M., Arisha M.J., Elmously A. et al. Cardiac tumors prevalence and mortality: A systematic review and meta-analysis. Int J Surg. 2020; 76: 178–89.


https://doi.org/10.1016/j.ijsu.2020.02.039. PMID: 32169566.


2. Antwi-Amoabeng D., Meghji Z., Thakkar S. et al. Survival differences in men and women with primary malignant cardiac tumor: An analysis using the Surveillance, Epidemiology and End Results (SEER) database from 1973 to 2015. J Am Heart Assoc. 2020; 9(10): e014846.


https://doi.org/10.1161/JAHA.119.014846. PMID: 32389047. PMCID: PMC7660836.


3. Scicchitano P., Sergi M.C., Cameli M. et al. Primary soft tissue sarcoma of the heart: An emerging chapter in cardio-oncology. Biomedicines. 2021; 9(7): 774.


https://doi.org/10.3390/biomedicines9070774. PMID: 34356838. PMCID: PMC8301302.


4. Orlandi A., Ferlosio A., Roselli M. et al. Cardiac sarcomas: An update. J Thorac Oncol. 2010; 5(9): 1483–89.


https://doi.org/10.1097/JTO.0b013e3181e59a91. PMID: 20651614.


5. Isambert N., Ray-Coquard I., Italiano A. et al. Primary cardiac sarcomas: A retrospective study of the French Sarcoma Group. Eur J Cancer. 2014; 50(1): 128–36.


https://doi.org/10.1016/j.ejca.2013.09.012. PMID: 24135684.


6. Moeri-Schimmel R., Pras E., Desar I. et al. Primary sarcoma of the heart: case report and literature review. J Cardiothorac Surg. 2020; 15(1): 104.


https://doi.org/10.1186/s13019-020-01157-4. PMID: 32430055. PMCID: PMC7236931.


7. Чижова О.Ю., Бакулин И.Г., Скворцова Т.Э. с соавт. Первичная ангиосаркома под маской констриктивного перикардита. Клинический случай. Российский кардиологический журнал. 2023; 28(7): 44–49. (Chizhova O.Yu., Bakulin I.G., Skvortsova T.E. et al. Primary angiosarcoma masked by constrictive pericarditis. A clinical case. Rossiyskiy kardiologicheskiy zhurnal = Russian Journal of Cardiology. 2023; 28(7): 44–49 (In Russ.)).


https://doi.org/10.15829/1560-4071-2023-5380. EDN: CGCHQT.


8. Leduc C., Jenkins S.M., Sukov W.R. et al. Cardiac angiosarcoma: Histopathologic, immunohistochemical, and cytogenetic analysis of 10 cases. Hum Pathol. 2017; 60: 199–207.


https://doi.org/10.1016/j.humpath.2016.10.014. PMID: 27818284.


9. Blackmon S.H., Patel A., Reardon M.J. Management of primary cardiac sarcomas. Expert Rev Cardiovasc Ther. 2008; 6(9): 1217–22.


https://doi.org/10.1586/14779072.6.9.1217. PMID: 18939909.


10. Сарачан Д.А., Скребцов А.В., Захарьян Е.А., Собинов Д.C. Первичные ангиосаркомы сердца: современные методы диагностики и лечения. Российский кардиологический журнал. 2020; 25(4): 95–100. (Sarachan D.A., Skrebtsov A.V., Zakharyan E.A., Sobinov D.S. Primary cardiac angiosarcoma: Modern methods of diagnosis and treatment. Rossiyskiy kardiologicheskiy zhurnal = Russian Journal of Cardiology. 2020; 25(4): 95–100 (In Russ.)).


https://doi.org/10.15829/1560-4071-2020-3824. EDN: ZUNVMG.


11. Lestuzzi C. Primary tumors of the heart. Curr Opin Cardiol. 2016; 31(6): 593–98.


https://doi.org/10.1097/HCO.0000000000000335. PMID: 27652810.


12. Бабешко С.С., Самурганов Ю.П., Барбухатти К.О., Порханов В.А. Результаты хирургического лечения первичных сарком сердца. Патология кровообращения и кардиохирургия. 2021; 25(2): 69–79. (Babeshko S.S., Samurganov Yu.P., Barbukhatti K.O., Porkhanov V.A. Outcomes after surgical resection of primary cardiac sarcomas. Patologiya krovoobrashcheniya i kardiokhirurgiya = Circulation Pathology and Cardiac Surgery. 2021; 25(2): 69–79 (In Russ.)).


https://doi.org/10.21688/1681-3472-2021-2-69-79. EDN: FKHGNO.


13. Аракелянц А.А., Буравихина Т.А., Морозова Т.Е., Барабанова Е.А. Злокачественные опухоли сердца: клинический случай саркомы. Медицинский вестник Северного Кавказа. 2021; 16(1): 73–76. (Arakelyants A.A., Buravikhina T.A., Morozova T.E., Barabanova E.A. Malignant cardiac tumors: Clinical case of sarcoma. Meditsinskiy vestnik Severnogo Kavkaza = Medical News of North Caucasus. 2021; 16(1): 73–76 (In Russ.)).


https://doi.org/10.14300/mnnc.2021.16020. EDN: XCRCNF.


About the Autors


Zoya G. Tatarintseva, MD, PhD (Medicine), head of the Department of cardiology of Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1 of the Ministry of Healthcare of the Krasnodar region, assistant at the Department of cardiac surgery and cardiology of the Faculty of advanced training and professional retraining of specialists, Kuban State Medical University of the Ministry of Healthcare of Russia. Address: 350086, Krasnodar, 167 Pervogo Maya St.
E-mail: z.tatarintseva@list.ru
ORCID: https://orcid.org/0000-0002-3868-8061
Arina D. Palshkova, resident of the Department of cardiac surgery and cardiology of the Faculty of advanced training and professional retraining of specialists, Kuban State Medical University of the Ministry of Healthcare of Russia. Address: 350063, Krasnodar, 4 Mitrofana Sedina St.
E-mail: arinapalshkova11@mail.ru
ORCID: https://orcid.org/0009-0007-7949-649X
Kirill O. Barbuhatti, MD, Dr. Sci. (Medicine), professor, head of the Department of cardiac surgery No. 2, Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1 of the Ministry of Healthcare of the Krasnodar region, head of the Department of cardiac surgery and cardiology of the Faculty of advanced training and professional retraining of specialists, Kuban State Medical University of the Ministry of Healthcare of Russia. Address: 350086, Krasnodar, 167 Pervogo Maya St.
E-mail: barbuhatty_k@mail.ru
ORCID: https://orcid.org/0000-0001-6403-3299
Olga V. Babicheva, MD, PhD (Medicine), cardiologist at Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1 of the Ministry of Healthcare of the Krasnodar region, associate professor of the Department of cardiac surgery and cardiology of the Faculty of advanced training and professional retraining of specialists, Kuban State Medical University of the Ministry of Healthcare of Russia. Address: 350086, Krasnodar, 167 Pervogo Maya St.
E-mail: babolga@mail.ru
ORCID: https://orcid.org/0000-0003-3010-492X


Similar Articles


Бионика Медиа