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2. Moreno Antón F, Casado Herraez A, Puente Vázquez J, Gómez Díaz R, Aragoncillo P, Díaz-Rubio García E: Cardiac metastasis from uterine leiomyosarcoma. Clin Transl Oncol; 2006 May;8(5):375-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Cardiac metastasis from uterine leiomyosarcoma.
  • Cardiac metastases are more frequent than primary heart neoplasias.
  • Nearly any malignant tumour may metastasize to the heart, but the most common are carcinomas rather than sarcomas.
  • We report the case of a patient who presented with heart metastasis 6 years after resection of an uterine leiomyosarcoma.
  • The patient died thirty months after surgical resection without evidence of cardiac recurrence.
  • Although cardiac metastases from uterine leiomyosarcoma are exceptional, they should be suspected in the presence of suggestive symptoms, since they can be associated with long survival after surgical treatment.
  • [MeSH-major] Heart Neoplasms / secondary. Leiomyosarcoma / secondary. Uterine Neoplasms / pathology
  • [MeSH-minor] Antineoplastic Combined Chemotherapy Protocols / therapeutic use. Combined Modality Therapy. Dacarbazine / administration & dosage. Dacarbazine / analogs & derivatives. Deoxycytidine / administration & dosage. Deoxycytidine / analogs & derivatives. Diagnostic Errors. Doxorubicin / administration & dosage. Fatal Outcome. Female. Humans. Hysterectomy. Ifosfamide / administration & dosage. Kidney Neoplasms / drug therapy. Kidney Neoplasms / secondary. Kidney Neoplasms / surgery. Leiomyoma / diagnosis. Lung Neoplasms / secondary. Lung Neoplasms / surgery. Middle Aged. Ovariectomy. Taxoids / administration & dosage. Thoracic Surgery, Video-Assisted

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  • (PMID = 16760015.001).
  • [ISSN] 1699-048X
  • [Journal-full-title] Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico
  • [ISO-abbreviation] Clin Transl Oncol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Italy
  • [Chemical-registry-number] 0 / Taxoids; 0W860991D6 / Deoxycytidine; 15H5577CQD / docetaxel; 7GR28W0FJI / Dacarbazine; 80168379AG / Doxorubicin; B76N6SBZ8R / gemcitabine; UM20QQM95Y / Ifosfamide; YF1K15M17Y / temozolomide
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3. Ozturk B, Tacoy G, Coskun U, Yaman E, Sahin G, Buyukberber S, Yildiz R, Kaya AO, Topal S, Ozdemir M, Benekli M: Gemcitabine-induced acute coronary syndrome: a case report. Med Princ Pract; 2009;18(1):76-80
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  • OBJECTIVES: To report a case of metastatic leiomyosarcoma, in which a patient developed chest pain accompanied by acute left bundle-branch block (LBBB) after gemcitabine infusion.
  • CLINICAL PRESENTATION AND INTERVENTION: A 59-year-old woman admitted with bilateral pulmonary nodules had classic risk factors for coronary heart disease and coronary stenosis as demonstrated by previous coronary angiography.
  • She was discharged 2 days later without any further cardiac events.
  • CONCLUSION: This case showed that chemotherapeutic agents must be administered with intensive cardiac monitoring especially in patients with cardiac disease and well-known risk factors to prevent the development of cardiac complications, despite an agent not being known to be 'cardiotoxic'.
  • [MeSH-minor] Aspirin / therapeutic use. Coronary Vasospasm / chemically induced. Electrocardiography. Fatal Outcome. Female. Humans. Leiomyosarcoma. Lung Neoplasms / secondary. Middle Aged. Platelet Aggregation Inhibitors / therapeutic use. Risk Factors. Ticlopidine / analogs & derivatives. Ticlopidine / therapeutic use

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  • [Copyright] Copyright 2008 S. Karger AG, Basel.
  • (PMID = 19060498.001).
  • [ISSN] 1423-0151
  • [Journal-full-title] Medical principles and practice : international journal of the Kuwait University, Health Science Centre
  • [ISO-abbreviation] Med Princ Pract
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Switzerland
  • [Chemical-registry-number] 0 / Antimetabolites, Antineoplastic; 0 / Platelet Aggregation Inhibitors; 0W860991D6 / Deoxycytidine; A74586SNO7 / clopidogrel; B76N6SBZ8R / gemcitabine; OM90ZUW7M1 / Ticlopidine; R16CO5Y76E / Aspirin
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4. Grande AM, Rinaldi M, Sinelli S, D'Armini AM, Viganŏ M: Heart transplantation in chemotherapeutic dilated cardiomyopathy. Transplant Proc; 2003 Jun;35(4):1516-8
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  • [Title] Heart transplantation in chemotherapeutic dilated cardiomyopathy.
  • Interval between end of chemotherapy and beginning of cardiac symptoms was 5.71 +/- 4.6 years.
  • Tumours were Ewing sarcoma (7-year-old boy), paratesticular rabdomyosarcoma (1-year-old boy), Wilms tumor with pulmonary metastasis (3-year-old girl), bilateral breast carcinoma (45-year-old woman), uterine leiomyosarcoma (44-year-old woman), acute myelocytic leukemia (1.5-year-old boy and 17-year-old girl), and chronic myelocytic leukemia (5-year-old boy).
  • [MeSH-major] Antineoplastic Agents / adverse effects. Cardiomyopathy, Dilated / chemically induced. Cardiomyopathy, Dilated / surgery. Heart Transplantation / physiology
  • [MeSH-minor] Adolescent. Adult. Aged. Child. Female. Humans. Male. Middle Aged. Neoplasms / classification. Neoplasms / drug therapy. Treatment Outcome


6. Bonatti H, Hoefer D, Rogatsch H, Margreiter R, Larcher C, Antretter H: Successful management of recurrent Epstein-Barr virus-associated multilocular leiomyosarcoma after cardiac transplantation. Transplant Proc; 2005 May;37(4):1839-44
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  • [Title] Successful management of recurrent Epstein-Barr virus-associated multilocular leiomyosarcoma after cardiac transplantation.
  • CASE REPORT: Two years after heart transplantation with ATG induction, cyclosporine (CsA; trough levels of 250 ng/mL)-based triple drug immunosuppression), a 23-year-old patient developed a small round lesion within the left lateral liver segment.
  • Histological and immunohistological examination showed a leiomyosarcoma.
  • Immunosuppression was drastically reduced, namely, CsA levels <100 ng/dL, prednisolone 5 mg, azathioprine withdrawn, and antiviral chemotherapy initiated with 10 days of IV gancyclovir and acyclovir followed by oral famcyclovir.
  • CONCLUSION: Long-term survival in patients with posttransplant EBV-associated leiomyosarcoma can be achieved by combined surgical intervention, reduction of immunosuppression, switch to Sirolimus, and antiviral chemotherapy.
  • [MeSH-major] Epstein-Barr Virus Infections / drug therapy. Heart Transplantation / methods. Leiomyosarcoma / surgery. Liver Neoplasms / surgery
  • [MeSH-minor] Acyclovir / therapeutic use. Adult. Antiviral Agents / therapeutic use. Cardiomyopathy, Dilated / surgery. Ganciclovir / therapeutic use. Humans. Male. Microsurgery. Recurrence. Tomography, X-Ray Computed. Treatment Outcome


7. Kasper B, Dietrich S, Mechtersheimer G, Ho AD, Egerer G: Large institutional experience with dose-intensive chemotherapy and stem cell support in the management of sarcoma patients. Oncology; 2007;73(1-2):58-64
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  • Apart from haematological complications, no WHO grade III-IV complications were observed.
  • One patient died due to cardiac arrest after transplantation.
  • [MeSH-major] Antineoplastic Combined Chemotherapy Protocols / therapeutic use. Sarcoma / drug therapy. Sarcoma / surgery. Stem Cell Transplantation
  • [MeSH-minor] Adult. Aged. Chondrosarcoma / drug therapy. Chondrosarcoma / surgery. Disease-Free Survival. Drug Administration Schedule. Female. Humans. Leiomyosarcoma / drug therapy. Leiomyosarcoma / surgery. Liposarcoma / drug therapy. Liposarcoma / surgery. Male. Middle Aged. Osteosarcoma / drug therapy. Osteosarcoma / surgery. Retrospective Studies. Rhabdomyosarcoma / drug therapy. Rhabdomyosarcoma / surgery. Sarcoma, Ewing / drug therapy. Sarcoma, Ewing / surgery. Sarcoma, Synovial / drug therapy. Sarcoma, Synovial / surgery

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  • [Copyright] : (c) 2008 S. Karger AG, Basel
  • (PMID = 18334832.001).
  • [ISSN] 1423-0232
  • [Journal-full-title] Oncology
  • [ISO-abbreviation] Oncology
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Switzerland
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8. Jurcut R, Savu O, Popescu BA, Florian A, Herlea V, Moldovan H, Ginghina C: Images in cardiovascular medicine: Primary cardiac leiomyosarcoma: when valvular disease becomes a vascular surgical emergency. Circulation; 2010 Jun 1;121(21):e415-8
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  • [Title] Images in cardiovascular medicine: Primary cardiac leiomyosarcoma: when valvular disease becomes a vascular surgical emergency.
  • [MeSH-major] Endocarditis / diagnosis. Heart Neoplasms / diagnosis. Heart Valve Diseases / diagnosis. Leiomyosarcoma / diagnosis
  • [MeSH-minor] Cardiovascular Surgical Procedures. Diagnosis, Differential. Echocardiography, Transesophageal. Electrocardiography. Female. Heart Valve Prosthesis. Humans. Middle Aged. Mitral Valve / surgery. Mitral Valve / ultrasonography


9. Lambert LA, Qiao N, Hunt KK, Lambert DH, Mills GB, Meijer L, Keyomarsi K: Autophagy: a novel mechanism of synergistic cytotoxicity between doxorubicin and roscovitine in a sarcoma model. Cancer Res; 2008 Oct 1;68(19):7966-74
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  • Doxorubicin is a genotoxic chemotherapy agent used in treatment of a wide variety of cancers.
  • Significant clinical side effects, including cardiac toxicity and myelosuppression, severely limit the therapeutic index of this commonly used agent and methods which improve doxorubicin efficacy could benefit many patients.
  • This study showed synergistic cytotoxicity between doxorubicin and roscovitine in three sarcoma cell lines: SW-982 (synovial sarcoma), U2OS-LC3-GFP (osteosarcoma), and SK-LMS-1 (uterine leiomyosarcoma), but not the fibroblast cell line WI38.

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  • (PMID = 18829554.001).
  • [ISSN] 1538-7445
  • [Journal-full-title] Cancer research
  • [ISO-abbreviation] Cancer Res.
  • [Language] ENG
  • [Grant] United States / NCI NIH HHS / CA / P30 CA016672; United States / NCI NIH HHS / CA / CA87458; United States / NCI NIH HHS / CA / CA087548-08; United States / NCI NIH HHS / CA / T32 CA009599-20; United States / NCI NIH HHS / CA / P50 CA116199; United States / NCI NIH HHS / CA / P50CA116199; United States / NCI NIH HHS / CA / R01 CA087548-08; United States / NCI NIH HHS / CA / CA009599-20; United States / NCI NIH HHS / CA / T32 CA009599; United States / NCI NIH HHS / CA / R01 CA087548
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Cytotoxins; 0 / Purines; 0 / roscovitine; 80168379AG / Doxorubicin
  • [Other-IDs] NLM/ NIHMS64689; NLM/ PMC2561224
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10. Uberfuhr P, Meiser B, Fuchs A, Schulze C, Reichenspurner H, Falk M, Weiss M, Wintersperger B, Issels R, Reichart B: Heart transplantation: an approach to treating primary cardiac sarcoma? J Heart Lung Transplant; 2002 Oct;21(10):1135-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Heart transplantation: an approach to treating primary cardiac sarcoma?
  • Treating rare, primary cardiac soft-tissue sarcomas (C-STS) with heart transplantation (HTx) is controversial.
  • Heart transplantation offers the opportunity to eradicate the primary malignancy completely.
  • [MeSH-major] Heart Neoplasms / surgery. Heart Transplantation. Sarcoma / surgery
  • [MeSH-minor] Adult. Chemotherapy, Adjuvant. Female. Hemangiopericytoma / drug therapy. Hemangiopericytoma / surgery. Hemangiosarcoma / drug therapy. Hemangiosarcoma / surgery. Humans. Leiomyosarcoma / drug therapy. Leiomyosarcoma / surgery. Prognosis. Treatment Outcome

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  • (PMID = 12398881.001).
  • [ISSN] 1053-2498
  • [Journal-full-title] The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
  • [ISO-abbreviation] J. Heart Lung Transplant.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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11. Goldbarg S, Kumar N, Sharma S: Images in cardiovascular medicine. Cardiac leiomyosarcoma. Circulation; 2007 Jan 30;115(4):e47-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Images in cardiovascular medicine. Cardiac leiomyosarcoma.
  • [MeSH-major] Heart Neoplasms / pathology. Leiomyosarcoma / pathology. Magnetic Resonance Imaging

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  • (PMID = 17261664.001).
  • [ISSN] 1524-4539
  • [Journal-full-title] Circulation
  • [ISO-abbreviation] Circulation
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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12. Swartz MF, Fink GW, Carhart RL Jr: Use of a biventricular assist device in the treatment of acute doxorubicin-induced cardiotoxicity. Congest Heart Fail; 2004 Jul-Aug;10(4):197-9
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  • This report describes a patient treated for metastatic leiomyosarcoma, who acutely developed doxorubicin-induced cardiotoxicity, and consequently developed heart failure.
  • During the next 9 days while on the assist device, her heart failure resolved, her organs were well perfused, and her heart entered a recovery period.
  • Although the patient's cardiac function did not have long-term recovery, short-term recovery after doxorubicin toxicity was achieved.
  • The authors maintain that the use of a biventricular assist device in the treatment of acute heart failure resulting from doxorubicin-induced cardiomyopathy is an effective way to manage this patient population.
  • [MeSH-major] Antibiotics, Antineoplastic / adverse effects. Cardiovascular Diseases / chemically induced. Doxorubicin / adverse effects. Heart-Assist Devices
  • [MeSH-minor] Acute Disease. Adult. Fatal Outcome. Female. Heart Failure / therapy. Humans. Leiomyosarcoma / drug therapy. Terminal Care

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  • (PMID = 15314480.001).
  • [ISSN] 1527-5299
  • [Journal-full-title] Congestive heart failure (Greenwich, Conn.)
  • [ISO-abbreviation] Congest Heart Fail
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antibiotics, Antineoplastic; 80168379AG / Doxorubicin
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13. Kilickap S, Akgul E, Aksoy S, Aytemir K, Barista I: Doxorubicin-induced second degree and complete atrioventricular block. Europace; 2005 May;7(3):227-30
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Doxorubicin is one of the most effective chemotherapeutic agents used in the treatment of malignancies.
  • [MeSH-major] Antibiotics, Antineoplastic / adverse effects. Doxorubicin / adverse effects. Heart Block / chemically induced
  • [MeSH-minor] Adult. Duodenal Neoplasms / drug therapy. Female. Humans. Leiomyosarcoma / drug therapy

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  • (PMID = 15878560.001).
  • [ISSN] 1099-5129
  • [Journal-full-title] Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
  • [ISO-abbreviation] Europace
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Antibiotics, Antineoplastic; 80168379AG / Doxorubicin
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14. Dencker M, Valind S, Stagmo M: Right ventricular metastasis of leiomyosarcoma. Cardiovasc Ultrasound; 2009;7:20
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Right ventricular metastasis of leiomyosarcoma.
  • Metastatic presentation of leiomyosarcoma in the heart is very rare.
  • We present transthoracic echocardiography and combined PET/CT images of a case with a large right ventricular metastasis of leiomyosarcoma.
  • The patient was placed on cytostatic drugs for palliative purposes, but passed away one month later because of an untreatable ventricular tackycardia.
  • [MeSH-major] Heart Neoplasms / diagnosis. Heart Neoplasms / secondary. Leiomyosarcoma / diagnosis. Leiomyosarcoma / secondary. Lung Neoplasms / pathology
  • [MeSH-minor] Aged. Echocardiography. Fatal Outcome. Female. Heart Ventricles. Humans. Positron-Emission Tomography. Tomography, X-Ray Computed

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  • (PMID = 19416508.001).
  • [ISSN] 1476-7120
  • [Journal-full-title] Cardiovascular ultrasound
  • [ISO-abbreviation] Cardiovasc Ultrasound
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
  • [Other-IDs] NLM/ PMC2685770
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