Can You Survive Cardiac Sarcoma? Survival Rates

Cardiac sarcoma can lead to potentially life-threatening complications:

• Heart attack: When small tumor pieces break and travel through the bloodstream, they can form a blood clot and block the artery that supplies the heart, leading to a heart attack. A heart attack can cause symptoms such as shortness of breath, sudden chest pain, nausea, vomiting, and excessive sweating.
• Stroke: When small tumor pieces break and travel through the bloodstream, they can form a blood clot and block the artery that supplies the brain, leading to a stroke. A stroke can cause weakness or complete paralysis in one or both sides of the body.
• Pulmonary embolism: When small tumor pieces break, they can get lodged in the artery that supplies the lungs and form a blood clot known as an embolus, causing pulmonary embolism. Pulmonary embolism causes sudden shortness of breath, chest pain, and cough (which may be bloody or blood-streaked).
• Pericarditis: Cardiac sarcoma can cause inflammation of the pericardium (the sac that surrounds the heart) and pericarditis. The main feature of pericarditis is a sharp and stabbing pain in the chest, often in the middle (behind the breastbone).

Your doctor will assess various factors before determining the most appropriate course of treatment:

• Age
• Overall health
• Coexisting conditions
• Spread of the tumor
• Tolerance to medications or surgery
• Preference for certain treatment options

Surgery is the most effective treatment option for cardiac sarcoma. While it may not extend the survival of all people with the tumor, it is more helpful than medical therapy alone. Your doctor may recommend one of the following:

• Removing the tumor by open heart surgery: Small cardiac sarcomas can be removed through open heart surgery, in which the surgeon makes a large incision cut in the chest to open the rib cage and operates on the heart.
• Heart transplantation: If the tumor is very large, removal becomes difficult. In such cases, surgeons may recommend heart transplantation. You will have to take immunosuppressants for a long time to avoid your body rejecting the new heart.
• Removing the tumor by autotransplantation: This is a novel type of surgery in which your heart is removed for a period of time to remove the cardiac sarcoma completely, followed by placing your heart back in its original location.
• Chemotherapy and radiation therapy: Your doctor may recommend other cancer therapies such as chemotherapy or radiation therapy if the cardiac sarcoma has spread to other parts of your body. Chemotherapy involves administering drugs that destroy cancer cells, often given in the form of injections or oral pills. Radiation therapy involves the use of targeted high beams of waves that shrink the tumor.
• Clinical trial: You may have the option to participate in clinical trials that try newer medications for cardiac sarcoma. Ask your surgeon or cancer specialist for information.

While cardiac sarcomas cannot be prevented, you can avoid risk factors for cancer:

• Smoking or using tobacco
• Excessive alcohol consumption
• Excessive sun exposure
• Excessive radiation exposure

If you have a family history of cardiac sarcoma, you can ask your doctor about genetic cancer screening. Early detection can improve the success of cancer treatment.