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A rare case of pleuropulmonary synovial sarcoma of the chest wall: A case report and a literature review
Pleuropulmonary synovial sarcoma is a subtype of synovial sarcomas that commonly arises from the chest wall, pleura, lungs and the heart. They are extremely rare, with only a few cases reported in the literature. It usually affects young and middle-aged adults with no gender predilection. Chest radi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7677111/ https://www.ncbi.nlm.nih.gov/pubmed/33250949 http://dx.doi.org/10.1016/j.radcr.2020.11.008 |
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author | Abdulghaffar, Shareefa AlNuaimi, Dana AlMulla, Muna Eldoky, Yahia Farhan, Rabia Kumar, Navin Khairi, Tarig Elnour |
author_facet | Abdulghaffar, Shareefa AlNuaimi, Dana AlMulla, Muna Eldoky, Yahia Farhan, Rabia Kumar, Navin Khairi, Tarig Elnour |
author_sort | Abdulghaffar, Shareefa |
collection | PubMed |
description | Pleuropulmonary synovial sarcoma is a subtype of synovial sarcomas that commonly arises from the chest wall, pleura, lungs and the heart. They are extremely rare, with only a few cases reported in the literature. It usually affects young and middle-aged adults with no gender predilection. Chest radiographs usually show a pleural-based mass, parenchymal consolidation, or a near complete opacification of the hemithorax. On contrast-enhanced CT, synovial sarcomas of the chest wall typically appear as a well-defined, heterogeneously enhancing mass with bone destruction and infiltration of chest wall musculature. MRI usually demonstrates a heterogeneous mass with areas of both high and low T1 signal intensities representing areas of hemorrhage and necrosis. We report a case of a 39- year old African male patient who presented to our hospital complaining of chest pain of 4 months duration. The plain chest radiograph showed complete opacification of the left hemithorax. Contrast-enhanced CT and MRI were then performed revealing a large left-sided heterogeneous mass. PET-CT demonstrated avid FDG uptake in the solid components of the mass with no evidence of distant metastasis.(.) An ultrasound-guided biopsy was performed, and histopathology revealed a locally advanced primary synovial sarcoma of the chest wall. Treatment consisted of neoadjuvant chemotherapy followed by surgical resection. |
format | Online Article Text |
id | pubmed-7677111 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-76771112020-11-27 A rare case of pleuropulmonary synovial sarcoma of the chest wall: A case report and a literature review Abdulghaffar, Shareefa AlNuaimi, Dana AlMulla, Muna Eldoky, Yahia Farhan, Rabia Kumar, Navin Khairi, Tarig Elnour Radiol Case Rep Case Report Pleuropulmonary synovial sarcoma is a subtype of synovial sarcomas that commonly arises from the chest wall, pleura, lungs and the heart. They are extremely rare, with only a few cases reported in the literature. It usually affects young and middle-aged adults with no gender predilection. Chest radiographs usually show a pleural-based mass, parenchymal consolidation, or a near complete opacification of the hemithorax. On contrast-enhanced CT, synovial sarcomas of the chest wall typically appear as a well-defined, heterogeneously enhancing mass with bone destruction and infiltration of chest wall musculature. MRI usually demonstrates a heterogeneous mass with areas of both high and low T1 signal intensities representing areas of hemorrhage and necrosis. We report a case of a 39- year old African male patient who presented to our hospital complaining of chest pain of 4 months duration. The plain chest radiograph showed complete opacification of the left hemithorax. Contrast-enhanced CT and MRI were then performed revealing a large left-sided heterogeneous mass. PET-CT demonstrated avid FDG uptake in the solid components of the mass with no evidence of distant metastasis.(.) An ultrasound-guided biopsy was performed, and histopathology revealed a locally advanced primary synovial sarcoma of the chest wall. Treatment consisted of neoadjuvant chemotherapy followed by surgical resection. Elsevier 2020-11-15 /pmc/articles/PMC7677111/ /pubmed/33250949 http://dx.doi.org/10.1016/j.radcr.2020.11.008 Text en © 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Abdulghaffar, Shareefa AlNuaimi, Dana AlMulla, Muna Eldoky, Yahia Farhan, Rabia Kumar, Navin Khairi, Tarig Elnour A rare case of pleuropulmonary synovial sarcoma of the chest wall: A case report and a literature review |
title | A rare case of pleuropulmonary synovial sarcoma of the chest wall: A case report and a literature review |
title_full | A rare case of pleuropulmonary synovial sarcoma of the chest wall: A case report and a literature review |
title_fullStr | A rare case of pleuropulmonary synovial sarcoma of the chest wall: A case report and a literature review |
title_full_unstemmed | A rare case of pleuropulmonary synovial sarcoma of the chest wall: A case report and a literature review |
title_short | A rare case of pleuropulmonary synovial sarcoma of the chest wall: A case report and a literature review |
title_sort | rare case of pleuropulmonary synovial sarcoma of the chest wall: a case report and a literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7677111/ https://www.ncbi.nlm.nih.gov/pubmed/33250949 http://dx.doi.org/10.1016/j.radcr.2020.11.008 |
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