Pericardial sarcoma: difficulties in diagnostic search

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Resumo

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.

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Sobre autores

Zoya Tatarintseva

Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1 of the Ministry of Healthcare of the Krasnodar region; Kuban State Medical University of the Ministry of Healthcare of Russia

Autor responsável pela correspondência
Email: z.tatarintseva@list.ru
ORCID ID: 0000-0002-3868-8061

MD, PhD (Medicine), head of the Department of Cardiology; assistant at the Department of Cardiac Surgery and Cardiology of the Faculty of Advanced Training and Professional Retraining of Specialists

Rússia, Krasnodar; Krasnodar

Arina Palshkova

Kuban State Medical University of the Ministry of Healthcare of Russia

Email: arinapalshkova11@mail.ru
ORCID ID: 0009-0007-7949-649X

resident of the Department of Cardiac Surgery and Cardiology of the Faculty of Advanced Training and Professional Retraining of Specialists

Rússia, Krasnodar

Kirill Barbuhatti

Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1 of the Ministry of Healthcare of the Krasnodar region; Kuban State Medical University of the Ministry of Healthcare of Russia

Email: barbuhatty_k@mail.ru
ORCID ID: 0000-0001-6403-3299

MD, Dr. Sci. (Medicine), professor, head of the Department of Cardiac Surgery No. 2; head of the Department of Cardiac Surgery and Cardiology of the Faculty of Advanced Training and Professional Retraining of Specialists

Rússia, Krasnodar; Krasnodar

Olga Babicheva

Professor S.V. Ochapovsky Research Institute – Regional Clinical Hospital No. 1 of the Ministry of Healthcare of the Krasnodar region; Kuban State Medical University of the Ministry of Healthcare of Russia

Email: babolga@mail.ru
ORCID ID: 0000-0003-3010-492X

MD, PhD (Medicine), cardiologist; associate professor of the Department of Cardiac Surgery and Cardiology of the Faculty of Advanced Training and Professional Retraining of Specialists

Rússia, Krasnodar; Krasnodar

Bibliografia

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  2. https://doi.org/10.1016/j.ijsu.2020.02.039. PMID: 32169566.
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  4. 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.
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2. Fig. 1. Computed tomography of the chest organs with contrast in the observed patient

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3. Fig. 2. Echocardiography with visualization of a volumetric mass (presumably in the pericardium) in the observed patient

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4. Fig. 3. Coronary angiography in the observed patient

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5. Fig. 4. Magnetic resonance examination of the heart with contrast in the observed patient

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6. Fig. 5. Histologic picture of the para-aortic lymph node in the observed patient

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