Treatment of cardiac synovial sarcoma: experience of two cases

Abstract Background Primary heart sarcomas are exceedingly rare tumors. Among primary cardiac sarcomas, synovial sarcoma is one of the rarest, involving cardiac cavities or pericardium. Case presentation Two cases of synovial sarcoma are presented with the clinical course and therapy. Both cases wer...

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Main Authors: Antonella Coli, Giovanni Alfonso Chiariello, Mariangela Novello, Christian Colizzi, Massimo Massetti
Format: Article
Language:English
Published: BMC 2018-07-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13019-018-0771-0
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author Antonella Coli
Giovanni Alfonso Chiariello
Mariangela Novello
Christian Colizzi
Massimo Massetti
author_facet Antonella Coli
Giovanni Alfonso Chiariello
Mariangela Novello
Christian Colizzi
Massimo Massetti
author_sort Antonella Coli
collection DOAJ
description Abstract Background Primary heart sarcomas are exceedingly rare tumors. Among primary cardiac sarcomas, synovial sarcoma is one of the rarest, involving cardiac cavities or pericardium. Case presentation Two cases of synovial sarcoma are presented with the clinical course and therapy. Both cases were treated with surgery and chemo/radiotherapy. Interestingly, one of the patient, a 52-year-old male with an intracardiac synovial sarcoma, undergone a SynCardia total artificial heart implantation, but died for multiple pulmonary metastases waiting for transplantation. Conclusion Complete surgical resection of cardiac synovial sarcoma is the gold standard of therapy, though rarely possible. Although guidelines for the treatment are not well established, due to limited number of cases reported, chemotherapy and radiotherapy are frequently administered and seem to prolong mean patient’s survival. Cardiac transplantation could be considered in selected cases.
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spelling doaj.art-65a5264a799245b5a328b5e22d926a8d2022-12-22T01:37:04ZengBMCJournal of Cardiothoracic Surgery1749-80902018-07-011311310.1186/s13019-018-0771-0Treatment of cardiac synovial sarcoma: experience of two casesAntonella Coli0Giovanni Alfonso Chiariello1Mariangela Novello2Christian Colizzi3Massimo Massetti4Institute of Anatomic Pathology, Catholic University of Sacred HeartDepartment of Cardiovascular Sciences, Catholic University of Sacred HeartInstitute of Anatomic Pathology, Catholic University of Sacred HeartDepartment of Cardiovascular Sciences, Catholic University of Sacred HeartDepartment of Cardiovascular Sciences, Catholic University of Sacred HeartAbstract Background Primary heart sarcomas are exceedingly rare tumors. Among primary cardiac sarcomas, synovial sarcoma is one of the rarest, involving cardiac cavities or pericardium. Case presentation Two cases of synovial sarcoma are presented with the clinical course and therapy. Both cases were treated with surgery and chemo/radiotherapy. Interestingly, one of the patient, a 52-year-old male with an intracardiac synovial sarcoma, undergone a SynCardia total artificial heart implantation, but died for multiple pulmonary metastases waiting for transplantation. Conclusion Complete surgical resection of cardiac synovial sarcoma is the gold standard of therapy, though rarely possible. Although guidelines for the treatment are not well established, due to limited number of cases reported, chemotherapy and radiotherapy are frequently administered and seem to prolong mean patient’s survival. Cardiac transplantation could be considered in selected cases.http://link.springer.com/article/10.1186/s13019-018-0771-0Synovial sarcomaCardiac tumorsTherapyTotal artificial heart implantation
spellingShingle Antonella Coli
Giovanni Alfonso Chiariello
Mariangela Novello
Christian Colizzi
Massimo Massetti
Treatment of cardiac synovial sarcoma: experience of two cases
Journal of Cardiothoracic Surgery
Synovial sarcoma
Cardiac tumors
Therapy
Total artificial heart implantation
title Treatment of cardiac synovial sarcoma: experience of two cases
title_full Treatment of cardiac synovial sarcoma: experience of two cases
title_fullStr Treatment of cardiac synovial sarcoma: experience of two cases
title_full_unstemmed Treatment of cardiac synovial sarcoma: experience of two cases
title_short Treatment of cardiac synovial sarcoma: experience of two cases
title_sort treatment of cardiac synovial sarcoma experience of two cases
topic Synovial sarcoma
Cardiac tumors
Therapy
Total artificial heart implantation
url http://link.springer.com/article/10.1186/s13019-018-0771-0
work_keys_str_mv AT antonellacoli treatmentofcardiacsynovialsarcomaexperienceoftwocases
AT giovannialfonsochiariello treatmentofcardiacsynovialsarcomaexperienceoftwocases
AT mariangelanovello treatmentofcardiacsynovialsarcomaexperienceoftwocases
AT christiancolizzi treatmentofcardiacsynovialsarcomaexperienceoftwocases
AT massimomassetti treatmentofcardiacsynovialsarcomaexperienceoftwocases