Primary synovial sarcoma of lung

Devleena,; Bansal, Vikram; Chaudhuri, Tamohan; Roy, Sayak

doi:10.4103/0970-2113.135777

Cited by 4 publications

(5 citation statements)

References 12 publications

(13 reference statements)

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“…Distant metastasis is often hematogenous and rarely lymphatic. Reported distant metastatic sites include the bone, heart, and brain 1 , 10 , 17 , 18 , 19 , 20 . Rare complications include Pancoast’s syndrome and pulmonary artery pseudoaneurysm because of tumor invasion 3 , 15 .…”

Section: Discussionmentioning

confidence: 99%

Primary pleuropulmonary synovial sarcoma mimicking a carcinoid tumor: Case report and literature review

Al-Ani

Naqvi

2016

Radiology Case Reports

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Primary pleuropulmonary synovial sarcoma is a rare malignancy. Commonly described radiologic features in the literature include pleural disease and/or effusion, lack of calcification and high uptake on positron emission tomography computerised tomography. A 68-year-old woman presented with a 3-month history of cough. Imaging studies showed a right upper lobe mass with internal foci of calcification, endobronchial extension, and low fluorodeoxyglucose avidity on positron emission tomography computerised tomography, leading to an initial diagnosis of carcinoid tumor. However, histologic specimens suggested an unexpected diagnosis of aggressive synovial sarcoma, and the case was referred to the sarcoma MDT. Metastatic synovial sarcoma was ruled out, and radical surgical excision of the lesion was performed. This article highlights the multiple atypical features of primary pleuropulmonary synovial sarcoma as seen in this case and reviews imaging findings described in the literature. Radiologists should be aware of this unusual yet aggressive type of sarcoma.

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Section: Discussionmentioning

confidence: 99%

Primary pleuropulmonary synovial sarcoma mimicking a carcinoid tumor: Case report and literature review

Al-Ani

Naqvi

2016

Radiology Case Reports

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“…It is a highly aggressive malignant neoplasm that may arise from the lung parenchyma, bronchial tree or pulmonary arteries (1). It is more common in males and, unlike other malignancies, it has not been associated with cigarette smoking (1). The diagnosis of primary pulmonary synovial sarcoma requires clinical, radiological, pathological and immunohistochemical investigations to exclude alternative primary tumors and metastatic sarcoma (2).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Primary pulmonary synovial sarcoma is a rare lesion that occurs in 0.5% cases of lung malignancies (1). It is a highly aggressive malignant neoplasm that may arise from the lung parenchyma, bronchial tree or pulmonary arteries (1).…”

Section: Introductionmentioning

confidence: 99%

“…The diagnosis of primary pulmonary synovial sarcoma requires clinical, radiological, pathological and immunohistochemical investigations to exclude alternative primary tumors and metastatic sarcoma (2). Immunohistochemistry and cytogenetic studies have reported an increasing incidence of primary synovial sarcomas among pulmonary synovial sarcomas (1)(2)(3).…”

Section: Introductionmentioning

confidence: 99%

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Primary pulmonary synovial sarcoma presenting with a large lump mass in the left upper mediastinum: A case report

Jiang

Gao

et al. 2016

Experimental and Therapeutic Medicine

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Primary pulmonary synovial sarcoma is a rare lesion that occurs in 0.5% cases of lung malignancies. Chest computed tomography (CT) reveals a heterogeneously enhancing mass in the lobe or hilum of the lungs, frequently calcified and with pleural invasion. Involvement of the mediastinum in the course of primary pulmonary synovial sarcoma, in particular detection of a large mass in the mediastinum as the sole initial imaging manifestation, is extremely rare, which may contribute to a delayed diagnosis or misdiagnosis. The present case report describes an extremely rare case of a patient with primary pulmonary synovial sarcoma presenting with a large mass in the left upper mediastinum. A 59-year-old patient was admitted to the Department of Respiratory Medicine of Taizhou People's Hospital in May 2014, complaining of a persistent cough and blood sputum for 2 weeks. Following admission, a chest CT showed a large mass in the left upper mediastinum. Thoracoscopy was performed and revealed that the left pulmonary artery was engulfed by the mass, and thus surgical resection of the tumor was abandoned. The patient was definitively diagnosed with primary pulmonary synovial sarcoma following the histopathological and immunohistochemical analysis of biopsy specimens obtained via thoracoscopy. Following the final diagnosis, the patient was transferred to the Department of Oncology for chemotherapy treatments with ifosfamide and doxorubicin. Unfortunately, no partial regression was achieved after two rounds of chemotherapy, and the patient was lost to follow-up 3 months after the diagnosis was confirmed. The present case may promote the consideration of primary pulmonary synovial sarcoma in the differential diagnosis of patients who present with a large mass in the mediastinum.

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Surgical treatment of primary synovial lung sarcoma: a case report

Novikov,

Chekini,

Novikova

2023

Russian Journal of Oncology

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Synovial sarcoma is a rare aggressive malignant mesenchymal tumor that accounts for 2.510.0% of all sarcomas and is most often found in the soft tissues of the extremities, especially near large joints. Primary synovial lung sarcoma is quite rare and accounts for 0.5% of all primary malignant lung neoplasms. The tumor is sensitive to chemotherapy, but the main method of treatment of synovial lung sarcoma remains surgical. Publications devoted to this topic, are presented by clinical observations due to the rare occurrence of the disease, therefore, each such observation is of scientific and practical interest. We present a clinical case 65-year-old patient with a tumor of the right lung with a diameter of more than 25 cm. Repeated attempts to perform transthoracic puncture both in our department and in other hospitals for the biopsy were unsuccessful. Taking into account the progression of the disease, the appearance and increase of the respiratory failure clinic, the impossibility to exclude the malignant nature of the process and the good functional status of the patient, a decision for surgery was made. The patient underwent right pneumonectomy with mediastinal lymph node dissection. The postoperative period was complicated by intrapleural bleeding, for which a rethoracotomy was performed. After recovery, the patient was discharged from the hospital in a stable condition.

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Primary synovial sarcoma of lung

Cited by 4 publications

References 12 publications

Primary pleuropulmonary synovial sarcoma mimicking a carcinoid tumor: Case report and literature review

Primary pleuropulmonary synovial sarcoma mimicking a carcinoid tumor: Case report and literature review

Primary pulmonary synovial sarcoma presenting with a large lump mass in the left upper mediastinum: A case report

Surgical treatment of primary synovial lung sarcoma: a case report

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