Malignant primary cardiac tumors: Review of a single institution experience

Lijo Simpson, Shaji K. Kumar, Scott H. Okuno, Hartzell V. Schaff, Luis F. Porrata, Jan C. Buckner, Timothy J. Moynihan

Research output: Contribution to journalArticle

145 Scopus citations

Abstract

BACKGROUND. Primary cardiac sarcomas are uncommon. The authors undertook to review the Mayo Clinic's experience with primary cardiac sarcomas consisting of 34 patients seen over a 32-year period. METHODS. The patient database at the Mayo Clinic was searched to identify patients with malignant tumors of the heart seen during the 32-year period between 1975 and 2007. Thirty-four patients with primary cardiac sarcomas were identified and their medical records reviewed for details pertaining to presenting symptoms, staging modalities, treatment approaches, and outcomes. RESULTS. Of the 34 patients, 17 were men and 17 were women. The median age was 44 years. The mean duration of symptoms at the time of diagnosis was 3.6 months. The most common histologic type was angiosarcoma (41%). The median follow-up for the entire group was 12 months (range, 0-61 months). The median survival for those who underwent a complete surgical excision was 17 months compared with 6 months for those in whom a surgical complete remission could not be achieved (P =.01). Patients with angiosarcoma had a lower survival compared with patients with other histologies (5 months vs 17 months; P =.01). The median survival of patients with metastatic disease was 5 months versus 15 months in patients without metastatic disease (P =.03 by the log-rank test). CONCLUSIONS. Cardiac sarcomas remain a rare but lethal disease. Compared with extracardiac sarcomas, the prognosis for patients with cardiac sarcomas remains very poor. A complete surgical excision should be performed if possible. Innovative treatment strategies are required.

Original languageEnglish (US)
Pages (from-to)2440-2446
Number of pages7
JournalCancer
Volume112
Issue number11
DOIs
StatePublished - Jun 1 2008

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Keywords

  • Cardiac neoplasms
  • Chemotherapy
  • Sarcoma
  • Treatment

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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