Primary Pleural Synovial Sarcoma with Metastatic Cardiac Involvement: A Case Report
Author(s):
Ji , Hye Won , Susie Chin , Jai Soung Park* , Sang Hyun Paik , Heon Lee , Jang Gyu Cha , Hwa Kyoon Shin , Eun Suk Koh
Abstract:
Primary pleuropulmonary synovial sarcomas are rare soft tissue malignancies; combined metastatic involvement of the heart is extremely rare. In this case report, a 17-year-old female presented with a history of chest pain. Chest radiographs revealed a round mass in the left upper hemithorax, and computed tomography (CT) showed a well-defined heterogeneous enhancing mass abutting the pleura. A core needle biopsy revealed malignant spindle cells. Surgical resection was performed, and a final diagnosis of primary pleural synovial sarcoma, monophasic fibrous type, was made. The patient underwent radical irradiation and chemotherapy and remained stable for 28 months until a follow-up chest CT showed a poorly enhancing nodule in the left pericardial region that enlarged after 5 months. Surgical resection was performed. Histological examination confirmed metastatic cardiac involvement from a primary pleural synovial sarcoma. We report this unusual case of a primary pleural synovial sarcoma metastasis to the heart..
Keywords:
Language:
English
Published:
Iranian Journal of Radiology, Volume:13 Issue: 4, Oct 2016
Page:
20
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