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The heart is very uncommonly affected by neoplasms, most of the times of metastatic nature; they are followed in order of frequency by the benign primary neoplasms and finally the malignant ones. Leiomyosarcomas are in the third place within the latter ones. Case Reports with this diagnosis are scarce, so it was decided to put at the scientific community disposal the case of a 79-year-old female patient, of urban origin, type II diabetic for more than 20 years and in addition, a previous history of heart failure about 25 years ago for which she was regularly treated. She was assisted at the Dr. Gustavo Aldereguía Lima General University Hospital in Cienfuegos, where she died. The work presents the case clinical and morphological characteristics and makes a brief allusion to the distinguishing characteristics of this neoplasm in general, in this unusual location.

El corazón se ve afectado con muy poca frecuencia por neoplasias, la mayoría de las veces de carácter metastásicas, siguen en orden de frecuencia las primarias benignas y finalmente las malignas. Los leiomiosarcomas ocupan el tercer lugar en orden de frecuencia dentro de estas últimas. Los reportes con este diagnóstico son escasos por lo que se decidió poner a disposición de la comunidad científica el caso de una paciente de 79 años de edad, de procedencia urbana, diabética tipo II desde hacía más de 20 años y con antecedentes, además, de insuficiencia cardiaca hacía aproximadamente 25 años para lo cual llevaba tratamiento regular. Fue atendida en el Hospital General Universitario Dr. Gustavo Aldereguía Lima, de Cienfuegos, donde falleció. El trabajo presenta las particularidades clínicas y morfológicas del caso y hace una breve alusión a las características que distinguen a esta neoplasia, en sentido general, en esta localización poco común.

The heart is very uncommonly affected by neoplasms, most of the times of metastatic nature; they are followed in order of frequency by the benign primary neoplasms and finally the malignant ones. Leiomyosarcomas are in the third place within the latter ones. Case Reports with this diagnosis are scarce, so it was decided to put at the scientific community disposal the case of a 79-year-old female patient, of urban origin, type II diabetic for more than 20 years and in addition, a previous history of heart failure about 25 years ago for which she was regularly treated. She was assisted at the Dr. Gustavo Aldereguía Lima General University Hospital in Cienfuegos, where she died. The work presents the case clinical and morphological characteristics and makes a brief allusion to the distinguishing characteristics of this neoplasm in general, in this unusual location. [ABSTRACT FROM AUTHOR]