Primary malignant cardiac tumors: Surgical results

Saraiva, Joana; Antunes, Pedro E.; Carvalho, Lina; Antunes, Manuel J.

doi:10.1016/j.repce.2016.03.003

Cited by 8 publications

(6 citation statements)

References 9 publications

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“…26 The mean age at the time of surgery was approximately 52 years; similar results have been published before. 7,27 However, people of all ages can be affected as seen in our sample.…”

Section: Discussionmentioning

confidence: 89%

Postoperative Complications and Long-Term Results after Primary Cardiac Sarcoma Resection

Kavakbasi

Scheld

Keßler

et al. 2017

Thorac cardiovasc Surg

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Background Primary malignant cardiac tumors rarely occur in clinical care. Little is known about the impact of a parameter on postoperative survival. Methods From May 1991 to May 2014, a total of 24 patients underwent surgical treatment of a primary cardiac sarcoma in our center. We analyzed our clinical database retrospectively for information on patient characteristics and treatment data. The follow-up could be completed to 91.7%. Results Angiosarcoma and non-otherwise-specified sarcoma were the most common tumor entities. R0 resection was achieved in most cases. Postoperative mortality within the first 30 days was 20.8% (n = 5). In four of these five cases, postoperative low-output cardiac failure was the leading cause of death. The cumulative survival rate was 77.3% after 30 days, 68.2% after 3 months, 50.0% after 6 months, 45.0% after 12 months, and 18.0% after 24 months. The mean survival time in the whole group was 47.0 months. A low tumor differentiation was associated with low mean survival, but this was not statistically significant. Mean survival of sarcoma was higher after R0 resection. There was no significant rate of survival difference regarding the adjuvant therapy concept. Conclusion Extended surgery alone or in combination with chemo- and/or radiotherapy may be successful in certain cases and may offer a satisfactory quality of life. The establishment of a multicenter heart tumor register in Germany is necessary to increase the number of cases in studies, get more remarkable study results, and standardize the diagnosis and therapy.

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“…26 The mean age at the time of surgery was approximately 52 years; similar results have been published before. 7,27 However, people of all ages can be affected as seen in our sample.…”

Section: Discussionmentioning

confidence: 89%

Postoperative Complications and Long-Term Results after Primary Cardiac Sarcoma Resection

Kavakbasi

Scheld

Keßler

et al. 2017

Thorac cardiovasc Surg

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“…Surgical resection is usually tailored on patient characteristics. Resection of PCS, even partial, is safe, provides relief from obstructive symptoms and improves quality of life (18)(19)(20). Surgery is applicable not only to clear the mechanical obstruction but also to obtain histologic material to make certain diagnoses.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment for improved 1-year survival in patients with primary cardiac sarcoma

Jiang

Yan

2021

The Anatolian Journal of Cardiology

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“…17 When a malignant tumor is found in the left atrium, the UPS and leiomyosarcoma are more likely, making up 44% and 22% of the cases, respectively. 11 Surgery, the best treatment for local sarcomas, 11 can relieve symptoms, 25 but it is not usually curative, unlike that which happens with benign neoplasias.³ The prognosis is better when the tumor is completely removed, with an average survival of 4 years more than that of incomplete resection . 26 Although complete resection with negative microscopic margins does not prevent recurrence in 2/3 of the patients, it does increase survival by 30 months, when compared to those with positive margins.…”

Section: Discussionmentioning

confidence: 99%

High-Grade Pleomorphic Sarcoma of the Left Atrium after Incomplete Resection and Adjuvant Chemotherapy

Razera

Araújo

Bernardes

et al. 2021

International Journal of Cardiovascular Sciences

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Primary malignant cardiac tumors: Surgical results

Cited by 8 publications

References 9 publications

Postoperative Complications and Long-Term Results after Primary Cardiac Sarcoma Resection

Postoperative Complications and Long-Term Results after Primary Cardiac Sarcoma Resection

Surgical treatment for improved 1-year survival in patients with primary cardiac sarcoma

High-Grade Pleomorphic Sarcoma of the Left Atrium after Incomplete Resection and Adjuvant Chemotherapy

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