PMID- 35979675 OWN - NLM STAT- MEDLINE DCOM- 20221011 LR - 20221011 IS - 1540-8191 (Electronic) IS - 0886-0440 (Linking) VI - 37 IP - 11 DP - 2022 Nov TI - Specific causes of death among patients with cardiac sarcoma in the United States-An analysis of The Surveillance, Epidemiology, and End Results (SEER) Program. PG - 3961-3963 LID - 10.1111/jocs.16857 [doi] AB - Representing 10%-25% of the primary cardiac neoplasms, primary malignant cardiac tumors (PMCT) have a poor prognosis, yet with rare incidence. Constituting more than 50% of the PMCT, cardiac sarcoma has increased not only in incidence over the past five decades but also in severity. Patients with PMCTs, especially sarcomas, have the worst prognosis when compared with other cardiac or extracardiac tumors. This retrospective study was performed using SEER*stat software, latest version 8.3.9.2(5) by accessing seer 18 registries plus data (excl AK) Nov 2020 Sub (2000-2018) for standard mortality ratio (SMR). A total of 235 patients were identified of whom 49.4% were females. Most of our patients were Stage 4 (n = 81) and distant in location (n = 92). The most common treatment method was tumor-directed surgery (n = 164), chemotherapy (n = 146), and radiotherapy (n = 55). Furthermore, other associated cancers with cardiac sarcoma were rare, with ten cases with lung and bronchus cancer (SMR: 37.95, 95% confidence interval [CI]: 18.2, 69.8), four with bone and joints (SMR: 1726.05, 95% CI: 470.2, 4419.3). During a 5-year follow-up, 235 patients died primarily due to cardiac sarcoma (n = 182, 77.4%), other cancers (n = 34, 14.4%), and other noncancerous causes (n = 19, 8%), while the noncancerous causes were attributed mainly to cardiovascular diseases (n = 4, 21%, SMR: 4.95, 95% CI: 1.35, 12.67), septicemia (n = 2, 10.5%, SMR: 41.23, 95% CI: 4.99, 148.95). CI - (c) 2022 Wiley Periodicals LLC. FAU - Awad, Ahmed K AU - Awad AK AUID- ORCID: 0000-0001-6647-1866 AD - Faculty of Medicine, Ain-Shams University, Cairo, Egypt. FAU - Elgenidy, Anas AU - Elgenidy A AUID- ORCID: 0000-0002-4532-8574 AD - Faculty of Medicine, Cairo University, Cairo, Egypt. FAU - Afifi, Ahmed M AU - Afifi AM AD - Department of Gastroenterology, Hepatology and Nutrition Diseases, MD Anderson Cancer Center, Houston, Texas, USA. FAU - Sa, Michel Pompeu AU - Sa MP AUID- ORCID: 0000-0001-5356-2996 AD - Department of Cardiothoracic Surgery, Lankenau Heart Institute, Lankenau Medical Center, Main Line Health, Wynnewood, Pennsylvania, USA. AD - Department of Cardiothoracic Surgery Research, Lankenau Institute for Medical Research, Wynnewood, Pennsylvania, USA. FAU - Ramlawi, Basel AU - Ramlawi B AD - Department of Cardiothoracic Surgery, Lankenau Heart Institute, Lankenau Medical Center, Main Line Health, Wynnewood, Pennsylvania, USA. AD - Department of Cardiothoracic Surgery Research, Lankenau Institute for Medical Research, Wynnewood, Pennsylvania, USA. LA - eng PT - Journal Article DEP - 20220818 PL - United States TA - J Card Surg JT - Journal of cardiac surgery JID - 8908809 SB - IM MH - Cause of Death MH - Female MH - *Heart Neoplasms/pathology MH - Humans MH - Male MH - *Mediastinal Neoplasms MH - Retrospective Studies MH - SEER Program MH - *Sarcoma/epidemiology MH - *Thymus Neoplasms MH - United States/epidemiology OTO - NOTNLM OT - SEER-database OT - cardiac neoplasms OT - cardiac sarcoma EDAT- 2022/08/19 06:00 MHDA- 2022/10/12 06:00 CRDT- 2022/08/18 03:42 PHST- 2022/07/29 00:00 [received] PHST- 2022/08/11 00:00 [accepted] PHST- 2022/08/19 06:00 [pubmed] PHST- 2022/10/12 06:00 [medline] PHST- 2022/08/18 03:42 [entrez] AID - 10.1111/jocs.16857 [doi] PST - ppublish SO - J Card Surg. 2022 Nov;37(11):3961-3963. doi: 10.1111/jocs.16857. Epub 2022 Aug 18.