<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2954-3835</journal-id>
<journal-title><![CDATA[Cardiovascular and metabolic science]]></journal-title>
<abbrev-journal-title><![CDATA[Cardiovasc. metab. sci]]></abbrev-journal-title>
<issn>2954-3835</issn>
<publisher>
<publisher-name><![CDATA[Asociación Nacional de Cardiólogos de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2954-38352025000200113</article-id>
<article-id pub-id-type="doi">10.35366/120546</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Diagnostic challenge: cardiac myeloid sarcoma in a patient with acute myeloid leukemia]]></article-title>
<article-title xml:lang="es"><![CDATA[Reto diagnóstico: sarcoma mieloide cardiaco en un paciente con leucemia mieloide aguda]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Rivera]]></surname>
<given-names><![CDATA[Alexis Y]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vásquez-Ortiz]]></surname>
<given-names><![CDATA[Zuilma Y]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galindo-Uribe]]></surname>
<given-names><![CDATA[Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición «Salvador Zubirán»  ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>113</fpage>
<lpage>119</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2954-38352025000200113&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2954-38352025000200113&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2954-38352025000200113&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Myeloid sarcoma, also known as granulocytic sarcoma or chloroma, is a malignant neoplasm resulting from the infiltration of immature myeloid cells into extramedullary tissues, with an estimated incidence of 2.5-9.1% in patients with acute myeloid leukemia (AML). The heart is an uncommon site of occurrence (&lt; 1%). Currently, there are no firmly established diagnostic or treatment guidelines for this condition.  Case report:  A 21-year-old female patient with a history of acute myeloid leukemia (translocation 9:11), diagnosed at age 16. After receiving chemotherapy, she achieved remission in October 2019. She was referred for follow-up in December 2021, presenting with wasting syndrome, palpitations, and dyspnea (NYHA II).  Conclusions:  This case highlights the rarity of cardiac myeloid sarcoma and underscores the need for the use of multimodal imaging in diagnosis and follow-up. Additionally, it emphasizes the importance of establishing specialized care pathways with a cardio-onco-hematological perspective in Mexico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El sarcoma mieloide, también conocido como sarcoma granulocítico o cloroma, es una neoplasia maligna resultante de la infiltración de células mieloides inmaduras en tejidos extramedulares, con una incidencia estimada de 2.5-9.1% en pacientes con leucemia mieloide aguda (LMA). El corazón es un sitio poco común de aparición (&lt; 1%). Actualmente, no existen pautas diagnósticas ni de tratamiento firmemente establecidas para esta condición.  Caso clínico:  Paciente femenino de 21 años con antecedente de leucemia mieloide aguda (translocación 9:11), diagnosticada a los 16 años. Tras recibir quimioterapia logró la remisión en octubre de 2019. Fue referida para seguimiento en diciembre de 2021, presentando síndrome consuntivo, palpitaciones y disnea (NYHA II).  Conclusiones:  Este caso resalta la rareza del sarcoma mieloide cardiaco y subraya la necesidad de utilizar imagenología multimodal en el diagnóstico y seguimiento. Además, destaca la relevancia de establecer rutas asistenciales especializadas con una perspectiva cardio-onco-hematológica en México.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[cardiac myeloid sarcoma]]></kwd>
<kwd lng="en"><![CDATA[imaging studies]]></kwd>
<kwd lng="en"><![CDATA[cardiovascular imaging]]></kwd>
<kwd lng="en"><![CDATA[cardiac granulocytic sarcoma]]></kwd>
<kwd lng="en"><![CDATA[cardiac chloroma]]></kwd>
<kwd lng="es"><![CDATA[sarcoma mieloide cardiaco]]></kwd>
<kwd lng="es"><![CDATA[estudios de imagen]]></kwd>
<kwd lng="es"><![CDATA[imagen cardiovascular]]></kwd>
<kwd lng="es"><![CDATA[sarcoma granulocítico cardiaco]]></kwd>
<kwd lng="es"><![CDATA[cloroma cardiaco]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gautam]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardiac myeloid sarcoma: review of literature]]></article-title>
<source><![CDATA[J Clin Diagn Res]]></source>
<year>2017</year>
<volume>11</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>XE01-4</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Almond]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Charalampakis]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ford]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
<name>
<surname><![CDATA[Gourevitch]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Desai]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Myeloid sarcoma: presentation, diagnosis, and treatment]]></article-title>
<source><![CDATA[Clin Lymphoma Myeloma Leuk]]></source>
<year>2017</year>
<volume>17</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>263-7</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dorfel]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Hantschel]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Federmann]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Haen]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Fend]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Müller]]></surname>
<given-names><![CDATA[II]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardiac myeloid sarcoma: multimodality radiologic imaging features and pathologic correlation]]></article-title>
<source><![CDATA[Am J Med]]></source>
<year>2016</year>
<volume>129</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>e117-20</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[TY]]></given-names>
</name>
<name>
<surname><![CDATA[Jung]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[YJ]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[HW]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[HG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[CT and MRI evaluation of cardiac complications in patients with hematologic diseases: a pictorial review]]></article-title>
<source><![CDATA[Int J Cardiovasc Imaging]]></source>
<year>2015</year>
<volume>31</volume>
<numero>^s2</numero>
<issue>^s2</issue>
<supplement>2</supplement>
<page-range>159-67</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abdelnabi]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Almaghraby]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Saleh]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[ElSharkawy]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardiac chloroma or cardiac myeloid sarcoma: case report]]></article-title>
<source><![CDATA[Echocardiography]]></source>
<year>2019</year>
<volume>36</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1594-5</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Isaak]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Dabir]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Kristiansen]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Luetkens]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardiac myeloid sarcoma: multimodal imaging and histopathologic findings]]></article-title>
<source><![CDATA[Radiol Cardiothorac Imaging]]></source>
<year>2021</year>
<volume>3</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tiller]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Reindl]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Klug]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Metzler]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Reinstadler]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Heart failure due to cardiac myeloid sarcoma]]></article-title>
<source><![CDATA[Eur Heart J Cardiovasc Imaging]]></source>
<year>2019</year>
<volume>20</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>107-8</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Zhong]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Han]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Fang]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Multimodality imaging and histopathology of cardiac myeloid sarcoma]]></article-title>
<source><![CDATA[Eur Heart J Cardiovasc Imaging]]></source>
<year>2016</year>
<volume>17</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1316</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cash]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Becton]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Mian]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardiac myeloid sarcoma]]></article-title>
<source><![CDATA[J Pediatr Hematol Oncol]]></source>
<year>2011</year>
<volume>33</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>e330-2</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[WC]]></given-names>
</name>
<name>
<surname><![CDATA[Yao]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[YH]]></given-names>
</name>
<name>
<surname><![CDATA[Kuo]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complete response of myeloid sarcoma with cardiac involvement to radiotherapy]]></article-title>
<source><![CDATA[J Thorac Dis]]></source>
<year>2016</year>
<volume>8</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1323-8</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
