Xuezhe Wang: Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Xinchi Luan: Department of Oncology, Key Laboratory of Cancer Molecular and Translational Research, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
Wenwen Yin: Department of Pulmonology, The Sixth Affiliated Hospital of Qingdao University, Weihai, Shandong, China.
Yilin Wang: School of Basic Medicine, Qingdao University, Qingdao, Shandong, China.
Xiaoxuan Li: Department of Oncology, Key Laboratory of Cancer Molecular and Translational Research, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
Ruolan Chen: Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Guoliang Zhang: Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Ruizhe Zhao: School of Basic Medicine, Qingdao University, Qingdao, Shandong, China.
Xue Dong: School of Basic Medicine, Qingdao University, Qingdao, Shandong, China.
Zhishang Zhang: Department of Joint Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Yuchen Fan: School of Basic Medicine, Qingdao University, Qingdao, Shandong, China.
Zhaodong Li: School of Basic Medicine, Qingdao University, Qingdao, Shandong, China.
Xianming Chu: Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao, China. chuxianming@qdu.edu.cn.
Shuang Wang: School of Basic Medicine, Qingdao University, Qingdao, Shandong, China. wangshuang85@qdu.edu.cn.
OPINION STATEMENT: Cardiac Sarcomas are rare, aggressive malignancies originating from various cardiac cell types, presenting significant challenges in both diagnosis and treatment. This comprehensive review explores recent advancements in diagnosis and treatment of cardiac angiosarcoma, fibrosarcoma, leiomyosarcoma, and rhabdomyosarcoma. And we briefly discuss the exceedingly rare occurrence of cardiac osteosarcoma and present our perspectives on its treatment. Development of these tumors is influenced by genetic mutations, environmental factors, and chromosomal abnormalities, necessitating a multidisciplinary approach for accurate diagnosis and management. Advanced imaging techniques, biomarkers, and immunohistochemical analysis assist in confirming the diagnosis and guiding treatment decisions. Surgical resection, adjuvant therapies, and personalized treatment strategies based on genetic profiling offer promising avenues for improving patient outcomes. Emerging therapeutic approaches, such as targeted therapies and immunotherapies, have shown promising progress in recent years. Despite these advancements, the prognosis for patient with Cardiac Sarcomas remains poor, highlighting the urgent need for continued research to refine treatment methods and enhance long-term survival outcomes. Ongoing efforts and clinical trials are essential for advancing the management of these rare and aggressive tumors, ultimately improving quality of life for affected patients.
Scicchitano P, Sergi MC, Cameli M, Miglioranza MH, Ciccone MM, Gentile M, et al. Primary Soft Tissue Sarcoma of the Heart: An Emerging Chapter in Cardio-Oncology. Biomedicines. 2021;9(7).
Butany J, Leong SW, Carmichael K, Komeda M. A 30-year analysis of cardiac neoplasms at autopsy. Can J Cardiol. 2005;21(8):675–80.
[PMID: 16003450]
Lam KY, Dickens P, Chan AC. Tumors of the heart. A 20-year experience with a review of 12,485 consecutive autopsies. Arch Pathol Lab Med. 1993;117(10):1027–31.
Hamre CFB, Kvammen EMH, Vinge LE, Skeie AT, Hompland I. [Cardiac sarcoma]. Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke. 2020;140(6). https://doi.org/10.4045/tidsskr.19.0455 .
Llombart-Cussac A, Pivot X, Contesso G, Rhor-Alvarado A, Delord JP, Spielmann M, et al. Adjuvant chemotherapy for primary cardiac sarcomas: the IGR experience. Br J Cancer. 1998;78(12):1624–8.
[PMID: 9862574]
Hamidi M, Moody JS, Weigel TL, Kozak KR. Primary cardiac sarcoma. Ann Thorac Surg. 2010;90(1):176–81.
[PMID: 20609770]
Zubair MH, Jain A. Unraveling the Enigmatic World of Cardiac Tumor Imaging. J Cardiothorac Vasc Anesth. 2023;37(10):2157–8.
[PMID: 37394387]
Araoz PA, Eklund HE, Welch TJ, Breen JF. CT and MR imaging of primary cardiac malignancies. Radiographics. 1999;19(6):1421–34.
Patel SD, Peterson A, Bartczak A, Lee S, Chojnowski S, Gajewski P, et al. Primary cardiac angiosarcoma - a review. Med Sci Monit. 2014;20:103–9.
[PMID: 24452054]
Orlandi A, Ferlosio A, Roselli M, Chiariello L, Spagnoli LG. Cardiac sarcomas: an update. J Thorac Oncol. 2010;5(9):1483–9.
[PMID: 20651614]
Neragi-Miandoab S, Kim J, Vlahakes GJ. Malignant tumours of the heart: a review of tumour type, diagnosis and therapy. Clin Oncol (R Coll Radiol). 2007;19(10):748–56.
[PMID: 17693068]
Sarjeant JM, Butany J, Cusimano RJ. Cancer of the heart: epidemiology and management of primary tumors and metastases. Am J Cardiovasc Drugs. 2003;3(6):407–21.
[PMID: 14728061]
Paraf F, Bruneval P, Balaton A, Deloche A, Mikol J, Maitre F, et al. Primary liposarcoma of the heart. Am J Cardiovasc Pathol. 1990;3(2):175–80.
[PMID: 2264989]
Donsbeck AV, Ranchere D, Coindre JM, Le Gall F, Cordier JF, Loire R. Primary cardiac sarcomas: an immunohistochemical and grading study with long-term follow-up of 24 cases. Histopathology. 1999;34(4):295–304.
[PMID: 10231396]
Bakaeen FG, Jaroszewski DE, Rice DC, Walsh GL, Vaporciyan AA, Swisher SS, et al. Outcomes after surgical resection of cardiac sarcoma in the multimodality treatment era. J Thorac Cardiovasc Surg. 2009;137(6):1454–60.
[PMID: 19464464]
Zhang PJ, Brooks JS, Goldblum JR, Yoder B, Seethala R, Pawel B, et al. Primary cardiac sarcomas: a clinicopathologic analysis of a series with follow-up information in 17 patients and emphasis on long-term survival. Hum Pathol. 2008;39(9):1385–95.
[PMID: 18602663]
Neuville A, Collin F, Bruneval P, Parrens M, Thivolet F, Gomez-Brouchet A, et al. Intimal sarcoma is the most frequent primary cardiac sarcoma: clinicopathologic and molecular retrospective analysis of 100 primary cardiac sarcomas. Am J Surg Pathol. 2014;38(4):461–9.
[PMID: 24625414]
Uzun O, Wilson DG, Vujanic GM, Parsons JM, De Giovanni JV. Cardiac tumours in children. Orphanet J Rare Dis. 2007;2:11.
[PMID: 17331235]
Randhawa JS, Budd GT, Randhawa M, Ahluwalia M, Jia X, Daw H, et al. Primary Cardiac Sarcoma: 25-Year Cleveland Clinic Experience. Am J Clin Oncol. 2016;39(6):593–9.
[PMID: 25036471]
Hammami MB, Al-Wawi MZ, Fazel H, Oudih M. Incidence, prognostic significance, and survival outcomes of primary cardiac sarcoma: An updated population-based retrospective study. Anatol J Cardiol. 2021;25(2):104–10.
[PMID: 33583817]
Schmidt VF, Kapp FG, Goldann C, Huthmann L, Cucuruz B, Brill R, et al. Extracranial Vascular Anomalies Driven by RAS/MAPK Variants: Spectrum and Genotype-Phenotype Correlations. J Am Heart Assoc. 2024;13(8):e033287. https://doi.org/10.1161/jaha.123.033287 .
Yang P, Xiong F, Zhu B, Gong L, Tang C. Case Report: Two cases of advanced primary cardiac angiosarcoma treated with anlotinib and a retrospective analysis of the literature. Frontiers in cardiovascular medicine. 2024;11:1363235.
[PMID: 38586171]
Bangolo A, Fwelo P, Iyer KM, Klinger S, Tavares L, Dey S, et al. Primary Cardiac Sarcoma: Clinical Characteristics and Prognostic Factors over the Past 2 Decades. Diseases (Basel, Switzerland). 2023;11(2). https://doi.org/10.3390/diseases11020074 .
Alanazi R, Aljizeeri A, Alsaileek A, Alrashid A, Alolayan A, Alkaiyat M, et al. Cardiac Morbidity and Mortality in Patients with Sarcoma: A Population-Based Study. Clin Med Insights Oncol. 2024;18:11795549241237704.
[PMID: 38558879]
Burningham Z, Hashibe M, Spector L, Schiffman JD. The epidemiology of sarcoma. Clin Sarcoma Res. 2012;2(1):14.
[PMID: 23036164]
Oliveira GH, Al-Kindi SG, Hoimes C, Park SJ. Characteristics and Survival of Malignant Cardiac Tumors: A 40-Year Analysis of >500 Patients. Circulation. 2015;132(25):2395–402.
[PMID: 26467256]
Chambergo-Michilot D, De la Cruz-Ku G, Sterner RM, Branez-Condorena A, Guerra-Canchari P, Stulak J. Clinical characteristics, management, and outcomes of patients with primary cardiac angiosarcoma: A systematic review. J Cardiovasc Thorac Res. 2023;15(1):1–8.
[PMID: 37342661]
Zhengrong W, Yun Z, Fuchun Z. Primary malignant pericardial sarcoma. Int J Cardiol. 2009;136(1):96–9.
[PMID: 18632170]
Jackson CS, Oman M, Patel AM, Vega KJ. Health disparities in colorectal cancer among racial and ethnic minorities in the United States. J Gastrointest Oncol. 2016;7(Suppl 1):S32-43.
[PMID: 27034811]
Aloysius MM, Shrivastava S, Rojulpote C, Naseer R, Hanif H, Babic M, et al. Racial and ethnic characteristics and cancer-specific survival in Primary Malignant Cardiac Tumors. Front Cardiovasc Med. 2022;9: 961160.
[PMID: 36093161]
Zaheer S, Zhou AL, Gross JM, Kilic A. Unusual presentation and delayed diagnosis of cardiac angiosarcoma. J Cardiothorac Surg. 2024;19(1):161.
[PMID: 38549142]
Angeli F, Bergamaschi L, Paolisso P, Armillotta M, Sansonetti A, Stefanizzi A, et al. Spectrum of electrocardiographic abnormalities in a large cohort of cardiac masses. Heart Rhythm. 2025;22(1):240–9. https://doi.org/10.1016/j.hrthm.2024.06.035 .
[DOI: 10.1016/j.hrthm.2024.06.035]
Bendel EC, Maleszewski JJ, Araoz PA. Imaging sarcomas of the great vessels and heart. Semin Ultrasound CT MR. 2011;32(5):377–404.
[PMID: 21963161]
An SY, Shim MS. Rapidly progressive metastatic angiosarcoma of the heart: a case report. Diagnostics (Basel, Switzerland). 2023;13(16). https://doi.org/10.3390/diagnostics13162666 .
Kyaw MMT, Shiuan E, Robledo Gomez AY, Singh AS, Abdo N. Primary Cardiac Epithelioid Angiosarcoma with Sustained Remission following Surgical Resection: A Case Report. Case Rep Oncol. 2023;16(1):878–85.
[PMID: 37900857]
Yamakuni R, Ishii S, Yamada S, Hara J, Suenaga H, Sugawara S, et al. Different prognostic outcomes in two cases of FDG-PET/CT-Positive and -negative cardiac angiosarcoma. Fukushima J Med Sci. 2023;69(1):45–9.
[PMID: 36775315]
López de Blanc S, Sambuelli R, Femopase F, Luna N, Gravotta M, David D, et al. Bacillary angiomatosis affecting the oral cavity. Report of two cases and review. J Oral Pathol Med. 2000;29(2):91–6.
Lundkvist L, Erntell H. [A case report of two siblings. Cardiac angiosarcoma--rare tumor with non-specific symptoms and poor prognosis]. Lakartidningen. 2002;99(42):4165–7.
Tucci E, Della Rocca C, Santilli F. Localized bacillary angiomatosis in the oral cavity: observations about a neoplasm with atypical behavior. Description of a case and review of the literature. Minerva Stomatol. 2006;55(1–2):67–75.
Paolisso P, Foà A, Bergamaschi L, Graziosi M, Rinaldi A, Magnani I, et al. Echocardiographic Markers in the Diagnosis of Cardiac Masses. J Am Soc Echocardiogr. 2023;36(5):464-73.e2.
[PMID: 36610495]
Atkins MD, Ravi V, Reardon MJ. The 7 Pillars of Primary Cardiac Sarcoma Treatment. Innovations (Philadelphia, Pa). 2024;19(1):3–7.
[PMID: 38439184]
Paolisso P, Bergamaschi L, Angeli F, Belmonte M, Foà A, Canton L, et al. Cardiac Magnetic Resonance to Predict Cardiac Mass Malignancy: The CMR Mass Score. Circ Cardiovasc Imaging. 2024;17(3): e016115.
[PMID: 38502734]
Yanagawa B, Mazine A, Chan EY, Barker CM, Gritti M, Reul RM, et al. Surgery for Tumors of the Heart. Semin Thorac Cardiovasc Surg. 2018;30(4):385–97.
[PMID: 30205144]
Chan EY, Ali A, Umana JP, Nguyen DT, Hamilton DJ, Graviss EA, et al. Management of primary cardiac paraganglioma. J Thorac Cardiovasc Surg. 2022;164(1):158-66.e1.
[PMID: 33148444]
Siontis BL, Leja M, Chugh R. Current clinical management of primary cardiac sarcoma. Expert Rev Anticancer Ther. 2020;20(1):45–51.
[PMID: 31914831]
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):104.
[PMID: 32430055]
Ibrahim A, Luk A, Singhal P, Wan B, Zavodni A, Cusimano RJ, et al. Primary intimal (spindle cell) sarcoma of the heart: a case report and review of the literature. Case Rep Med. 2013;2013: 461815.
[PMID: 23424592]
Siontis BL, Zhao L, Leja M, McHugh JB, Shango MM, Baker LH, et al. Primary Cardiac Sarcoma: A Rare, Aggressive Malignancy with a High Propensity for Brain Metastases. Sarcoma. 2019;2019:1960593.
[PMID: 30962762]
Isambert N, Ray-Coquard I, Italiano A, Rios M, Kerbrat P, Gauthier M, et al. Primary cardiac sarcomas: a retrospective study of the French Sarcoma Group. Eur J Cancer. 2014;50(1):128–36.
Gupta A. Primary cardiac sarcomas. Expert Rev Cardiovasc. 2008;6(10):1295–7.
Juchelka J, Simek M, Marcian P, Ehrmann J, Santavy P. Expansive intracardiac leiomyosarcoma - a combined therapeutic approach resulting in survival with complete remission. A literature review and case report. Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia. 2023;167(2):116–20.
Narezkina A, Narayan HK, Zemljic-Harpf AE. Molecular mechanisms of anthracycline cardiovascular toxicity. Clin Sci (London, England : 1979). 2021;135(10):1311–32.
Markman TM, Markman M. Cardio-oncology: management of cardiovascular toxicity. F1000Research. 2019;8. https://doi.org/10.12688/f1000research.14542.1 .
Stergioula A, Kokkali S, Pantelis E. Multimodality treatment of primary cardiac angiosarcoma: A systematic literature review. Cancer Treat Rev. 2023;120: 102617.
[PMID: 37603906]
Lyon AR, Yousaf N, Battisti NML, Moslehi J, Larkin J. Immune checkpoint inhibitors and cardiovascular toxicity. Lancet Oncol. 2018;19(9):e447–58.
[PMID: 30191849]
Raschi E, Rossi S, De Giglio A, Fusaroli M, Burgazzi F, Rinaldi R, et al. Cardiovascular Toxicity of Immune Checkpoint Inhibitors: A Guide for Clinicians. Drug Saf. 2023;46(9):819–33.
[PMID: 37341925]
Habertheuer A, Laufer G, Wiedemann D, Andreas M, Ehrlich M, Rath C, et al. Primary cardiac tumors on the verge of oblivion: a European experience over 15 years. J Cardiothorac Surg. 2015;10:56.
[PMID: 25928192]
Agaimy A, Rösch J, Weyand M, Strecker T. Primary and metastatic cardiac sarcomas: a 12-year experience at a German heart center. Int J Clin Exp Pathol. 2012;5(9):928–38.
[PMID: 23119110]
Janus I, Nowak M, Noszczyk-Nowak A, Ciaputa R, Kandefer-Gola M, Pasławska U, et al. Epidemiological and pathological features of primary cardiac tumours in dogs from Poland in 1970–2014. Acta Vet Hung. 2016;64(1):90–102.
[PMID: 26919146]
Fodor J. Evidence-based radiotherapy in the treatment of early-stage invasive breast cancer: traditional clinical features and biomarkers. Magy Onkol. 2009;53(1):7–14.
[PMID: 19318321]
han EY, Ali A, Zubair MM, Nguyen DT, Ibarra-Cortez SH, Graviss EA, et al. Primary cardiac sarcomas: Treatment strategies. J Thorac Cardiovasc Surg. 2023;166(3):828–38.e2.
Cusimano RJ. International Collaboration to Improve Outcomes in Cardiac Sarcomas. Ann Thorac Surg. 2020;109(4):1305–6.
[PMID: 31526787]
Cusimano RJ, Farkouh M, Razak A. The Need for and Benefits of an International Database for Cardiac Tumors. J Am Coll Cardiol. 2020;76(9):1150–1.
[PMID: 32854849]
Zhang K, Wang X, Wei T, Li Z, Zhu J, Chen YW. Comparative study between poorly differentiated thyroid cancer and anaplastic thyroid cancer: real-world pathological distribution, death attribution, and prognostic factor estimation. Front Endocrinol. 2024;15:1347362.
Kiwaki T, Ishihara A, Toyama T, Kusaka H, Kataoka H. Primary cardiac angiosarcoma directly invading the right lung: An autopsy report. Clin Case Rep. 2021;9(8): e04582.
[PMID: 34457279]
Yu JF, Cui H, Ji GM, Li SQ, Huang Y, Wang RN, et al. Clinical and imaging manifestations of primary cardiac angiosarcoma. BMC Med imaging. 2019;19(1):16.
[PMID: 30764784]
Leduc C, Jenkins SM, Sukov WR, Rustin JG, Maleszewski JJ. Cardiac angiosarcoma: histopathologic, immunohistochemical, and cytogenetic analysis of 10 cases. Human Pathol. 2017;60:199–207.
Robson A, Costa Rosa J, Semkova K, Bakr F, Cabecadas J. Homozygous Loss of CDKN2 in Primary Cutaneous CD8(+) Lymphoma NOS. Am J Dermatopathol. 2024;46(3):147–52.
[PMID: 38175704]
Zhao E, Peng M, Xu M, Zhang Y, Jiao K, Ma D. Cardiac angiosarcoma with multiple pulmonary metastases: A case report and literature review. Radiol Case Rep. 2023;18(4):1446–51.
[PMID: 36798066]
Lin CT, Ducis K, Tucker S, Tranmer B. Metastatic Cardiac Angiosarcoma to the Lung, Spine, and Brain: A Case Report and Review of the Literature. World Neurosurg. 2017;107:1049.e9-.e12.
Liu R, Chen D, Dong F, Wang H, Shang JF, Teng F. [Primary cardiac angiosarcoma: a clinicopathological and molecular genetic analysis of thirteen cases]. Zhonghua bing li xue za zhi = Chinese J Pathol. 2023;52(6):599–605.
Aboud A, Farha K, Hsieh WC, Brasch F, Ensminger S, Gummert J, et al. Prognostic Factors for Long-Term Survival after Surgical Resection of Primary Cardiac Sarcoma. Thorac Cardiovasc Surg. 2019;67(8):665–71.
[PMID: 31250414]
Wagner MJ, Ravi V, Menter DG, Sood AK. Endothelial cell malignancies: new insights from the laboratory and clinic. NPJ Precis Oncol. 2017;1(1):11.
[PMID: 29872699]
Weidema ME, Versleijen-Jonkers YMH, Flucke UE, Desar IME, van der Graaf WTA. Targeting angiosarcomas of the soft tissues: A challenging effort in a heterogeneous and rare disease. Crit Rev Oncol Hematol. 2019;138:120–31.
[PMID: 31092367]
Kizilyel F, Gunay R, Rum M, Yilmaz M, Ketenci B. A rare coexistence: Poland’s syndrome and cardiac angiosarcoma. J Cardiothorac Surg. 2023;18(1):35.
[PMID: 36653856]
Sun J, Wei T, Sun B, Su J, Liu H, Wang D, et al. The diagnosis and treatment for primary cardiac angiosarcoma with N-ras gene mutation and MSI-L: A case report and review of the literature. Medicine. 2023;102(51): e36682.
[PMID: 38134104]
Guo Y, Liu Q, Wu H. Primary cardiac tumor: a case report of right atrial angiosarcoma and review of the literature. Front Oncol. 2023;13:1164153.
[PMID: 37305576]
Mastropierro R, Lorusso R, Gelsomino S, Enrico V, D’Aloia A, De Cicco G, et al. Cardiac angiosarcoma: a paradigmatical case? Int J Cardiol. 2013;169(5):e79-81.
[PMID: 24200310]
De Nardi AB, de Oliveira Massoco Salles Gomes C, Fonseca-Alves CE, de Paiva FN, Linhares LCM, Carra GJU, et al. Diagnosis, prognosis, and treatment of canine hemangiosarcoma: a review based on a consensus organized by the Brazilian association of veterinary oncology, ABROVET. Cancers. 2023;15(7). https://doi.org/10.3390/cancers15072025 .
Do TH, Le XD, Vu TT, Ngo TA, Thi MHN, Tran QT, et al. Primary cardiac epithelioid angiosarcoma: A case report. Radiology case reports. 2022;17(9):3349–54.
[PMID: 35865366]
Kennedy S, Dimza M, Jones D, Seifert R. An Innovative Approach to the Diagnosis of Cardiac Angiosarcoma. Cureus. 2022;14(6): e26323.
[PMID: 35911262]
Delsol G, Blancher A, al Saati T, Ralfkiaer E, Lauritzen A, Bruigères L, et al. Antibody BNH9 detects red blood cell-related antigens on anaplastic large cell (CD30+) lymphomas. British J Cancer. 1991;64(2):321–6. https://doi.org/10.1038/bjc.1991.299 .
Ge Y, Ro JY, Kim D, Kim CH, Reardon MJ, Blackmon S, et al. Clinicopathologic and immunohistochemical characteristics of adult primary cardiac angiosarcomas: analysis of 10 cases. Ann Diagn Pathol. 2011;15(4):262–7.
[PMID: 21546292]
Meis-Kindblom JM, Kindblom LG. Angiosarcoma of soft tissue: a study of 80 cases. Am J Surg Pathol. 1998;22(6):683–97.
[PMID: 9630175]
Morgenstern-Kaplan D, Aboitiz-Rivera CM, Blachman-Braun R, Vázquez-Manríquez ME, Sarabia-Ortega B, Baltazares-Lipp ME. Primary Cardiac Epithelioid Angiosarcoma in a Latin American Patient: Case Report and Literature Review. Case Rep Oncol Med. 2019;2019:2641976.
[PMID: 31467749]
Hori M, Imamura T, Tanaka S, Ueno H, Joho S, Fukahara K, et al. Primary Cardiac Angiosarcoma Accompanying Cardiac Tamponade. Intern Med. 2022;61(7):1015–9.
[PMID: 34544954]
Liu X, Wen Y, Miao Q, Liu X, Zhang C, Ma G. Surgery for angiosarcoma and other cardiac sarcomas: A single-institution experience. JTCVS Open. 2023;13:242–51.
[PMID: 37063153]
Li Y, Ahn YM, Niu S. Primary cardiac angiosarcoma initially diagnosed on pericardial fluid cytology with histology and autopsy correlation. Diagn Cytopathol. 2023;51(9):E263–6.
[PMID: 37249363]
Zhrebker L, Cherni I, Gross LM, Hinshelwood MM, Reese M, Aldrich J, et al. Case report: whole exome sequencing of primary cardiac angiosarcoma highlights potential for targeted therapies. BMC Cancer. 2017;17(1):17.
[PMID: 28056866]
Chugh R, Wathen JK, Maki RG, Benjamin RS, Patel SR, Meyers PA, et al. Phase II multicenter trial of imatinib in 10 histologic subtypes of sarcoma using a bayesian hierarchical statistical model. J Clin Oncol. 2009;27(19):3148–53.
[PMID: 19451433]
Ray-Coquard I, Italiano A, Bompas E, Le Cesne A, Robin YM, Chevreau C, et al. Sorafenib for patients with advanced angiosarcoma: a phase II Trial from the French Sarcoma Group (GSF/GETO). Oncologist. 2012;17(2):260–6.
[PMID: 22285963]
Ray-Coquard IL, Domont J, Tresch-Bruneel E, Bompas E, Cassier PA, Mir O, et al. Paclitaxel Given Once Per Week With or Without Bevacizumab in Patients With Advanced Angiosarcoma: A Randomized Phase II Trial. J Clin Oncol. 2015;33(25):2797–802.
[PMID: 26215950]
Kollár A, Jones RL, Stacchiotti S, Gelderblom H, Guida M, Grignani G, et al. Pazopanib in advanced vascular sarcomas: an EORTC Soft Tissue and Bone Sarcoma Group (STBSG) retrospective analysis. Acta Oncol (Stockholm, Sweden). 2017;56(1):88–92.
Suderman D, Cooke A, Wong R, Klein J. Treatment of cardiac angiosarcoma with radiation and docetaxel: a case report with partial response and prolonged stable disease. J Thorac Oncol. 2011;6(4):834–5.
[PMID: 21623260]
Nakamura-Horigome M, Koyama J, Eizawa T, Kasai H, Kumazaki S, Tsutsui H, et al. Successful treatment of primary cardiac angiosarcoma with docetaxel and radiotherapy. Angiology. 2008;59(3):368–71.
[PMID: 18388090]
Truong PT, Jones SO, Martens B, Alexander C, Paquette M, Joe H, et al. Treatment and outcomes in adult patients with primary cardiac sarcoma: the British Columbia Cancer Agency experience. Ann Surg Oncol. 2009;16(12):3358–65.
[PMID: 19830494]
Schur S, Hamacher R, Brodowicz T. Pazopanib in Primary Cardiac Angiosarcoma of the Right Atrium: A Case Report. Case reports in oncology. 2016;9(2):363–7.
[PMID: 27462238]
Deng S, Yang X, He L, Zhang Q, Zhao C, Meng H. Radiotherapy combined with anti-PD-1 and TKI for primary cardiac angiosarcoma considering the joint assessment of TLSs and PD-L1: a case report. J Cardiothorac Surg. 2024;19(1):194.
[PMID: 38594687]
Elsayad K, Scobioala S, Kriz J, Haverkamp U, Eich HT. Advances in Image-Guided Radiation Therapy for Primary Cardiac Angiosarcoma: The Role of PET-CT and MRI. Oncol Res Treat. 2016;39(5):290–4.
[PMID: 27173652]
Zeng Z, Mei Z, Chen M, Cao H, Xiang Q, Cai H, et al. Cadonilimab plus anlotinib effectively relieve rare cardiac angiosarcoma with multiple metastases: a case report and literature review. Clin Res Cardiol. 2024;113(2):358–65.
[PMID: 37405482]
Chen C, Xie L, Ren T, Huang Y, Xu J, Guo W. Immunotherapy for osteosarcoma: Fundamental mechanism, rationale, and recent breakthroughs. Cancer Lett. 2021;500:1–10.
[PMID: 33359211]
Diamond MS. Immune Checkpoint Inhibitors in Cardiac Sarcoma: Reason to Take Heart? JACC CardioOncol. 2024;6(1):80–2.
[PMID: 38510298]
Nassar AH, El-Am E, Denu R, Abou Alaiwi S, El Zarif T, Macaron W, et al. Clinical Outcomes Among Immunotherapy-Treated Patients With Primary Cardiac Soft Tissue Sarcomas: A Multicenter Retrospective Study. JACC CardioOncol. 2024;6(1):71–9.
[PMID: 38510282]
Frota Filho JD, Lucchese FA, Leães P, Valente LA, Vieira MS, Blacher C. Primary cardiac angiosarcoma. A therapeutical dilemma. Arq Bras Cardiol. 2002;78(6):586–91.
Navarro Sanchez JM, Oommen T, Lum C, Halford Z, Vierkoetter K. Mediastinal Epithelioid Angiosarcoma, New Insights into an Uncommon Diagnosis: A Case Report and Literature Review. Hawaii J Health Soc Welf. 2023;82(9):208–12.
[PMID: 37694219]
Yazıcı N, Sarıalioğlu F, Varan B, Aşlamacı S, Tarhan C, Atılgan AO. Treatment of cardiac infantile fibrosarcoma. Pediatr Blood Cancer. 2013;60(6):953–4.
[PMID: 23441070]
Coelho PN, Banazol NG, Soares RJ, Fragata JI. Long-term survival with heart transplantation for fibrosarcoma of the heart. Ann Thorac Surg. 2010;90(2):635–6.
[PMID: 20667366]
Machado I, Claramunt-Alonso R, Lavernia J, Romero I, Barrios M, Safont MJ, et al. ETV6::NTRK3 Fusion-Positive Wild-Type Gastrointestinal Stromal Tumor (GIST) with Abundant Lymphoid Infiltration (TILs and Tertiary Lymphoid Structures): A Report on a New Case with Therapeutic Implications and a Literature Review. Int J Mol Sci. 2024;25(7).
Kelle S, Paetsch I, Neuss M, Gebker R, Niesporek S, Meyer R, et al. Primary fibrosarcoma of the liver infiltrating the right atrium of the heart. Int J Cardiovasc Imaging. 2005;21(6):655–8.
[PMID: 16322927]
Soltani S, Garousi M, Mirzaee E, Koolaji S, Nazari H, Emami S, et al. A rare presentation of primary cardiac myxofibrosarcoma: Case report and literature review. Cancer rep (Hoboken, NJ). 2024;7(4): e2033.
Knobel B, Rosman P, Kishon Y, Husar M. Intracardiac primary fibrosarcoma. Case report and literature review. Thorac Cardiovasc Surg. 1992;40(4):227–30.
Shrivastava S, Chopra P, Kumar AS. Fibrosarcoma of the right ventricle–a case report. Int J Cardiol. 1985;9(2):234–8.
[PMID: 4055147]
Zanobini M, Travaglini S, Pepi M, Saccocci M. Primary tumor or metastasis? Extremely rare fibrosarcoma of the left atrial appendage. J Thorac Cardiovasc Surg. 2018;156(4):e153–6.
[PMID: 29784427]
Basso C, Valente M, Poletti A, Casarotto D, Thiene G. Surgical pathology of primary cardiac and pericardial tumors. Eur J Cardiothorac Surg. 1997;12(5):730–7; discussion 7–8.
Kogon B, Shehata B, Katzenstein H, Samai C, Mahle W, Maher K, et al. Primary congenital infantile fibrosarcoma of the heart: the first confirmed case. Ann Thorac Surg. 2011;91(4):1276–80.
[PMID: 21440163]
Cui YY, Shang JF, Chen D, Li YW, Lian GL, Han LY. Clinicopathologic study of cardiac myxofibrosarcomas. Zhonghua Bing Li Xue Za Zhi. 2017;46(3):170–5.
[PMID: 28297757]
Schaffer LR, Caltharp SA, Milla SS, Kogon BF, Cundiff CA, Dalal A, et al. Rare presentation of four primary pediatric cardiac tumors. Cardiovasc Pathol. 2016;25(1):72–7.
[PMID: 26419627]
Coffin CM, Alaggio R. Fibroblastic and myofibroblastic tumors in children and adolescents. Pediatr Dev Pathol. 2012;15(1 Suppl):127–80.
[PMID: 22420727]
Van Veer H, Meuris B, Verbeken E, Herijgers P. Primary atrial fibrosarcoma of the heart. Cardiovasc Pathol. 2008;17(5):325–8.
[PMID: 18402789]
Sun D, Wu Y, Liu Y, Yang J. Primary cardiac myxofibrosarcoma: case report, literature review and pooled analysis. BMC Cancer. 2018;18(1):512.
[PMID: 29720127]
Cruz Palomera R, Valencia Gonzalez JD, Guzmán Olea J, Gutiérrez Castañeda RE, Rodríguez Alvarado JF, Camacho Huembes J, et al. A monster into the heart: an unusual presentation of cardiac leiomyosarcoma. Egypt Heart J. 2023;75(1):101.
[PMID: 38112855]
Yin K, Brydges H, Lawrence KW, Wei Y, Karlson KJ, McAneny DB, et al. Primary cardiac lymphoma. J Thorac Cardiovasc Surg. 2022;164(2):573-80.e1.
[PMID: 33158567]
Gozzellino L, Nannini M, Pizzi C, Leone O, Corti B, Indio V, et al. Genomic Characterization of Rare Primary Cardiac Sarcoma Entities. Diagnostics (Basel, Switzerland). 2023;13(2). https://doi.org/10.3390/diagnostics13020214 .
Sankarasubramanian S, Prabhakar P, Narasimhan MK. Genetic insights into cardiac tumors: a comprehensive review. Med Oncol. 2022;39(11):164.
[PMID: 35972566]
Ozkaynak B, Kayalar N, Mert B, Sönmez S, Erentuğ V. Left atrial leiomyosarcoma extending into the posterior mediastinum and mimicking a left atrial myxoma. Heart Surg Forum. 2013;16(6):E309–12.
[PMID: 24370798]
Winther C, Timmermans-Wielenga V, Daugaard S, Mortensen SA, Sander K, Andersen CB. Primary cardiac tumors: a clinicopathologic evaluation of four cases. Cardiovasc Pathol. 2011;20(1):63–7.
[PMID: 20060324]
Muehrcke DD, Justice K. Leiomyosarcoma of the left ventricle. Ann Thorac Surg. 2008;86(2):666.
[PMID: 18640362]
Strina C, Zannoni M, Parolin V, Cetto GL, Zuliani S. Bone metastases from primary cardiac sarcoma: case report. Tumori. 2009;95(2):251–3.
[PMID: 19579876]
Leiva O, Hollingsworth P, Singh V, Qian X, Blankstein R, Vaduganathan M. What Looks Like a Clot But Is Not a Clot?: Cardiac Leiomyosarcoma Mimicking Pulmonary Embolism. JACC Case reports. 2020;2(12):1966–8.
[PMID: 34317090]
Dong F, Chen D, Shang JF, Fang W, Han LY, Lian GL, et al. [Clinicopathological characteristics and molecular alterations of primary cardiac leiomyosarcoma: report of five cases]. Zhonghua bing li xue za zhi = Chinese J Pathol. 2022;51(6):512–7.
Machraa A, El Ghiati H, Fehri ZF, Mbida C, Chahdi H, Nya F, et al. A case report of a primary pericardial leiomyosarcoma: An extremely rare cardiac neoplasm. Ann Med Surg. 2012;2022(77): 103701.
Park YM, Shin JO, Kim M, Kang WC, Moon J, Chung WJ, et al. Cardiac Metastasis of Leiomyosarcoma Complicated with Complete Atrio-Ventricular Block and Ventricular Tachycardia. Korean Circ J. 2016;46(2):260–3.
[PMID: 27014358]
Srividya VV, Sailendra V. An Extemly Rare Case of Left Atrium and Right Pulmonary Vein Leiomyosarcoma. Journal of clinical and diagnostic research : JCDR. 2015;9(9):Ed18–20.
Aarts MJ, Aerts JG, van den Borne BE, Biesma B, Lemmens VE, Kloover JS. Comorbidity in Patients With Small-Cell Lung Cancer: Trends and Prognostic Impact. Clin Lung Cancer. 2015;16(4):282–91.
[PMID: 25572007]
Moura DS, Mondaza-Hernandez JL, Sanchez-Bustos P, Peña-Chilet M, Cordero-Varela JA, Lopez-Alvarez M, et al. HMGA1 regulates trabectedin sensitivity in advanced soft-tissue sarcoma (STS): A Spanish Group for Research on Sarcomas (GEIS) study. Cell Mol life Sci: CMLS. 2024;81(1):219.
[PMID: 38758230]
Peng Q, Ding R, Wang X, Yang P, Jiang F, Chen X. Effect of Irisin on Pressure Overload-Induced Cardiac Remodeling. Arch Med Res. 2021;52(2):182–90.
[PMID: 33067011]
Camerieri A, Costa E, Scarano F, Colacino R. Primary cardiac rhabdomyosarcoma involving the mitral valve. G Ital Cardiol. 1992;22(9):1093–7.
[PMID: 1291426]
Lestuzzi C. Primary tumors of the heart. Curr Opin Cardiol. 2016;31(6):593–8.
[PMID: 27652810]
Cantarín-Extremera V, Bernardino-Cuesta B, Martín-Villaescusa C, Melero-Llorente J, Hernández-Martín A, Aparicio-López C, et al. Tuberous sclerosis complex: analysis of areas of involvement, treatment progress and translation to routine clinical practice in a cohort of paediatric patients. Rev Neurol. 2021;73(5):141–50.
[PMID: 34328203]
von Ranke FM, Zanetti G, e Silva JL, Araujo Neto CA, Godoy MC, Souza CA, et al. Tuberous Sclerosis Complex: State-of-the-Art Review with a Focus on Pulmonary Involvement. Lung. 2015;193(5):619–27.
Hinton RB, Prakash A, Romp RL, Krueger DA, Knilans TK. Cardiovascular manifestations of tuberous sclerosis complex and summary of the revised diagnostic criteria and surveillance and management recommendations from the International Tuberous Sclerosis Consensus Group. J Am Heart Assoc. 2014;3(6): e001493.
[PMID: 25424575]
Pérez J, Pérez-Rivero A, Montoya A, Martín MP, Mozos E. Right-sided heart failure in a dog with primary cardiac rhabdomyosarcoma. J Am Anim Hosp Assoc. 1998;34(3):208–11.
[PMID: 9590448]
Caserto BG. A comparative review of canine and human rhabdomyosarcoma with emphasis on classification and pathogenesis. Vet Pathol. 2013;50(5):806–26.
[PMID: 23439712]
Merker M, Wagner J, Kreyenberg H, Heim C, Moser LM, Wels WS, et al. ERBB2-CAR-Engineered Cytokine-Induced Killer Cells Exhibit Both CAR-Mediated and Innate Immunity Against High-Risk Rhabdomyosarcoma. Front Immunol. 2020;11: 581468.
[PMID: 33193388]
Youlden DR, Baade PD, Green AC, Valery PC, Moore AS, Aitken JF. Second primary cancers in people who had cancer as children: an Australian Childhood Cancer Registry population-based study. Med J Aust. 2020;212(3):121–5.
[PMID: 31743457]
Uchida T, Kuroda Y, Sadahiro M. Primary Biatrial Cardiac Rhabdomyosarcoma. Braz J Cardiovasc Surg. 2020;35(3):399–401.
[PMID: 32549111]
Donaldson SS. Rhabdomyosarcoma: contemporary status and future directions. The Lucy Wortham James Clinical Research Award. Archives of surgery (Chicago, Ill : 1960). 1989;124(9):1015–20.
Tobar A, Avigad S, Zoldan M, Mor C, Goshen Y, Zaizov R. Clinical relevance of molecular diagnosis in childhood rhabdomyosarcoma. Diagn Mol Pathol. 2000;9(1):9–13.
[PMID: 10718207]
Panagiotopoulos I, Katinioti A, Mousafeiris V, Leivaditis V, Skevis K, Tasios K, et al. Multifocal, biatrial, primary cardiac embryonal rhabdomyosarcoma. Prz Menopauzalny. 2023;22(3):173–6.
[PMID: 37829268]
Damjanović MR, Tomagević M, Dordević-Radojković D, Koraćević G, Janković R. Cardiac rhabdomyosarcoma. Vojnosanit Pregl. 2007;64(5):353–6.
[PMID: 17585553]
Roomi S, Sherazi MF, Ullah W, Khan OA, Minalyan A, Atiq M, et al. Rhabdomyosarcoma from uterus to heart. J Community Hosp Intern Med Perspect. 2020;10(3):245–9.
[PMID: 32850073]
Arndt CA, Nascimento AG, Schroeder G, Schomberg PJ, Neglia JP, Sencer SF, et al. Treatment of intermediate risk rhabdomyosarcoma and undifferentiated sarcoma with alternating cycles of vincristine/doxorubicin/cyclophosphamide and etoposide/ifosfamide. Eur J Cancer. 1998;34(8):1224–9.
[PMID: 9849484]
Grandmougin D, Fayad G, Decoene C, Pol A, Warembourg H. Total orthotopic heart transplantation for primary cardiac rhabdomyosarcoma: factors influencing long-term survival. Ann Thorac Surg. 2001;71(5):1438–41.
[PMID: 11383779]
Salvador-Coloma C, Saigí M, Díaz-Beveridge R, Penín RM, Pané-Foix M, Mayordomo E, et al. Identification Of Actionable Genetic Targets In Primary Cardiac Sarcomas. Onco Targets Ther. 2019;12:9265–75.
[PMID: 31807008]
Ota S, Shimonaga T, Yuki S, Kuraoka K, Ogawa T, Hirata T. Primary cardiac rhabdomyosarcoma successfully treated with eribulin: a case report. Anticancer Drugs. 2020;31(3):304–9.
[PMID: 31725047]
Raney RB, Walterhouse DO, Meza JL, Andrassy RJ, Breneman JC, Crist WM, et al. Results of the Intergroup Rhabdomyosarcoma Study Group D9602 protocol, using vincristine and dactinomycin with or without cyclophosphamide and radiation therapy, for newly diagnosed patients with low-risk embryonal rhabdomyosarcoma: a report from the Soft Tissue Sarcoma Committee of the Children’s Oncology Group. Journal of clinical oncology : official journal of the American Society of Clinical Oncology. 2011;29(10):1312–8.
[PMID: 21357783]
Chen R, Xu Y, Zhu Y. Primary left atrium osteosarcoma with extensive ossification: A case report. Radiol Case Rep. 2023;18(11):3844–8.
[PMID: 37670917]
Yoshida A. Osteosarcoma: Old and New Challenges. Surg Pathol Clin. 2021;14(4):567–83.
[PMID: 34742481]
Meltzer PS, Helman LJ. New Horizons in the Treatment of Osteosarcoma. N Engl J Med. 2021;385(22):2066–76.
[PMID: 34818481]
Dong W, Shen J, Zhang Z, Li W. Primary cardiac osteosarcoma: A case report. Asian J Surg. 2024. https://doi.org/10.1016/j.asjsur.2024.07.160 .
Umair M, Zimmerman SL, Fishman EK. Primary chondroblastic osteosarcoma of the mitral valve without metastasis. Radiol Case Rep. 2022;17(4):1041–3.
[PMID: 35145566]
Bae DH, Park S, Kim M, Kim S, Choi WG, Bae JW, et al. Cardiac osteosarcoma: a case report and literature review. Front Cardiovasc Med. 2023;10:1215389.
[PMID: 37492160]
Li Y, Ye T, Gu Q, Dong L, Chen G, Lu S. Primary, cardiac, fibroblastic osteosarcoma: A case report. Medicine (Baltimore). 2018;97(1): e9543.
[PMID: 29505531]
Aguilar CA, Donet JA, Galarreta CI, Yabar A. A primary cardiac osteosarcoma: Case report and review of the literature. J Cardiol Cases. 2013;7(2):e29–33.
[PMID: 30533114]
Linder V, Fritscher T, Hammon M, Schroth M, Schmidt W, Uder M, et al. Small direct right ventricular cardiac metastasis of osteosarcoma in a 10-year-old boy affirmed by cardiac MRI. Radiol Case Rep. 2020;15(6):761–4.
[PMID: 32322327]
Mhadgut H, Manthri S, Youssef B, Jaishankar D. The Rarest of the Rare: A Case of Primary Cardiac Osteosarcoma With a Review of the Literature. Cureus. 2021;13(7): e16492.
[PMID: 34430107]
Trimble CR, Burke A, Kligerman S. Primary Cardiac Osteosarcoma: AIRP Best Cases in Radiologic-Pathologic Correlation. Radiographics. 2015;35(5):1352–7.
[PMID: 26371582]
Parwani AV, Esposito N, Rao UN. Primary cardiac osteosarcoma with recurrent episodes and unusual patterns of metastatic spread. Cardiovasc Pathol. 2008;17(6):413–7.
[PMID: 18402843]
Zhang C, Huang C, Zhang X, Zhao L, Pan D. Clinical characteristics associated with primary cardiac angiosarcoma outcomes: a surveillance, epidemiology and end result analysis. Eur J Med Res. 2019;24(1):29.
[PMID: 31426842]
Wang JG, Wang B, Hu Y, Liu JH, Liu B, Liu H, et al. Clinicopathologic features and outcomes of primary cardiac tumors: a 16-year-experience with 212 patients at a Chinese medical center. Cardiovasc Pathol. 2018;33:45–54.
[PMID: 29414432]
Guo S, Guo Q. Primary Cardiac Angiosarcoma. Int Heart J. 2021;62(2):458–62.
[PMID: 33731530]
Torabi S, Arjomandi Rad A, Vardanyan R, Lopuszko AT, Van den Eynde J, Zubarevich A, et al. Surgical and multimodality treatment of cardiac sarcomas: A systematic review and meta-analysis. J Card Surg. 2021;36(7):2476–85.
[PMID: 33797789]
Farzin AO, Nejad SS. Cardiac angiosarcoma: a case report. J Int Med Res. 2023;51(11):3000605231211772.
[PMID: 37987637]
Baisan RA, Vulpe V, Lazăr M, Pașca SA. A rare case of intracardiac fibrosarcoma with myxoid features inducing venous occlusion in a dog - a case report. BMC Vet Res. 2018;14(1):398.
[PMID: 30547774]
Zhang W, Zheng X, Ni B, Gu W, Sun H, Shao Y, et al. Myxoid fibrosarcoma of the left atrium and ventricle in pregnancy. Ann Thorac Surg. 2014;98(5):1818–9.
[PMID: 25441792]
Du B, Cui Y, Liu G, Li Y, Li X. Multimodality imaging of a rare synchronous double primary cardiac leiomyosarcoma. Eur Heart J Cardiovasc Imaging. 2023;24(12): e303.
[PMID: 37602698]
Tortorelli I, Navarria F, Maggio AD, Banzato A, Lestuzzi C, Nicosia L, et al. Trabectedin and Radiation Therapy for Cardiac Metastasis From Leiomyosarcoma: A Case Report and Review of the Literature. Front Oncol. 2022;12: 838114.
[PMID: 35574369]
Wang JG, Cui L, Jiang T, Li YJ, Wei ZM. Primary cardiac leiomyosarcoma: an analysis of clinical characteristics and outcome patterns. Asian Cardiovasc Thorac Ann. 2015;23(5):623–30.
[PMID: 25740020]
Pins MR, Ferrell MA, Madsen JC, Piubello Q, Dickersin GR, Fletcher CD. Epithelioid and spindle-celled leiomyosarcoma of the heart. Report of 2 cases and review of the literature. Arch Pathol Lab Med. 1999;123(9):782–8.
Rice DC, Reardon MJ. Left heart sarcomas. Methodist Debakey Cardiovasc J. 2010;6(3):49–56.
[PMID: 20834212]
Bussani R, Castrichini M, Restivo L, Fabris E, Porcari A, Ferro F, et al. Cardiac Tumors: Diagnosis, Prognosis, and Treatment. Curr Cardiol Rep. 2020;22(12):169.
[PMID: 33040219]
Günther T, Schreiber C, Noebauer C, Eicken A, Lange R. Treatment strategies for pediatric patients with primary cardiac and pericardial tumors: a 30-year review. Pediatr Cardiol. 2008;29(6):1071–6.
[PMID: 18600370]
Pesenti C, Bories E, Caillol F, Moutardier V, Monges G, Giovannini M. Cardiac rhabdomyosarcoma mimicking a mediastinal tumor and the role of endoscopic ultrasonography. Endosc Ultrasound. 2012;1(1):56–8.
[PMID: 24949337]
Vaporciyan A, Reardon MJ. Right heart sarcomas. Methodist Debakey Cardiovasc J. 2010;6(3):44–8.
[PMID: 20834211]
Bruna J, Lockwood M. Primary heart angiosarcoma detected by computed tomography and magnetic resonance imaging. Eur Radiol. 1998;8(1):66–8.
[PMID: 9442133]
Ambrus N, Havasi K, Kalapos A, Saghy L, Makai A, Bogats G, et al. Primary cardiac angiosarcoma: A case report. Echocardiography. 2018;35(2):267–71.
[PMID: 29349900]
Riles E, Gupta S, Wang DD, Tobin K. Primary cardiac angiosarcoma: A diagnostic challenge in a young man with recurrent pericardial effusions. Exp Clin Cardiol. 2012;17(1):39–42.
[PMID: 23204900]
Casha AR, Davidson LA, Roberts P, Nair RU. Familial angiosarcoma of the heart. J Thorac Cardiovasc Surg. 2002;124(2):392–4.
[PMID: 12167801]
Hod N, Shalev A, Levin D, Anconina R, Ezroh Kazap D, Lantsberg S. FDG PET/CT of Cardiac Angiosarcoma With Pulmonary Metastases. Clin Nucl Med. 2018;43(10):744–6.
[PMID: 30036249]
Dhull VS, Sharma P, Mukherjee A, Jana M, Bal C, Kumar R. 18F-FDG PET-CT for Evaluation of Cardiac Angiosarcoma: A Case Report and Review of Literature. Mol Imaging Radionucl Ther. 2015;24(1):32–6.
[PMID: 25800597]
Tüdös Z, Köcher M, Černá M, Odstrčil F, Prouzová Z, Formánek R, et al. “Sun Ray” Appearance in a Case of Cardiac Angiosarcoma: A Comparison of MRI and PET/CT. Magn Reson Med Sci. 2017;16(2):176–80.
[PMID: 27001389]
Zhang ZY, Gao X, Bai CM, Zhang SY, Miao Q. Clinical and radiologic characteristics as well as outcomes of patients with primary cardiac angiosarcoma. Zhonghua Xin Xue Guan Bing Za Zhi. 2019;47(9):731–6.
[PMID: 31550845]
Erdogan EB, Asa S, Aksoy SY, Ozhan M, Halac M. Appearance of recurrent cardiac myxofibrosarcoma on FDG PET/CT. Clin Nucl Med. 2014;39(6):559–60.
[PMID: 24662649]
Burke AP, Cowan D, Virmani R. Primary sarcomas of the heart. Cancer. 1992;69(2):387–95.
[PMID: 1728367]
Shih WJ, McCullough S, Smith M. Diagnostic imagings for primary cardiac fibrosarcoma. Int J Cardiol. 1993;39(2):157–61.
[PMID: 8314650]
Kabashi S, Hoxha N, Gashi S, Ahmegjekaj I, Bejta I, Sadiku M, et al. Primary fibro sarcoma of the heart. Acta Inform Med. 2013;21(3):213–5.
[PMID: 24167396]
Lee SH, Kim WH, Choi JB, Lee SR, Rhee KS, Chae JK, et al. Huge primary pleomorphic leiomyosarcoma in the right ventricle with impending obstruction of both inflow and outflow tracts. Circ J. 2009;73(4):779–82.
[PMID: 19075518]
Li X, Cao Y, Shao G, Cui Y, Li Y, Zhang K, et al. Multimodality imaging assessment of primary pericardial rhabdomyosarcoma: a case report. Front Cardiovasc Med. 2023;10:1237951.
[PMID: 37645522]
Oxenberg J, Khushalani NI, Salerno KE, Attwood K, Kane JM 3rd. Neoadjuvant chemotherapy for primary cutaneous/soft tissue angiosarcoma: Determining tumor behavior prior to surgical resection. J Surg Oncol. 2015;111(7):829–33.
[PMID: 25772798]
Pautier P, Italiano A, Piperno-Neumann S, Chevreau C, Penel N, Firmin N, et al. Doxorubicin alone versus doxorubicin with trabectedin followed by trabectedin alone as first-line therapy for metastatic or unresectable leiomyosarcoma (LMS-04): a randomised, multicentre, open-label phase 3 trial. Lancet Oncol. 2022;23(8):1044–54.
[PMID: 35835135]
Judson I, Verweij J, Gelderblom H, Hartmann JT, Schoffski P, Blay JY, et al. Doxorubicin alone versus intensified doxorubicin plus ifosfamide for first-line treatment of advanced or metastatic soft-tissue sarcoma: a randomised controlled phase 3 trial. Lancet Oncol. 2014;15(4):415–23.
[PMID: 24618336]