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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...

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Autores principales: Abdulghaffar, Shareefa, AlNuaimi, Dana, AlMulla, Muna, Eldoky, Yahia, Farhan, Rabia, Kumar, Navin, Khairi, Tarig Elnour
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
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.
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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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