Primary Pleural Synovial Sarcoma with Metastatic Cardiac Involvement: A Case Report
- Authors
- Won, Ji-Hye; Chin, Susie; Park, Jai Soung; Paik, Sang Hyun; Lee, Heon; Cha, Jang Gyu; Shin, Hwa Kyoon; Koh, Eun Suk
- Issue Date
- Oct-2016
- Publisher
- Kowsar
- Keywords
- Sarcoma; Metastasis; Heart; Computed Tomography (CT)
- Citation
- Iranian Journal of Radiology, v.13, no.4
- Journal Title
- Iranian Journal of Radiology
- Volume
- 13
- Number
- 4
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/8702
- DOI
- 10.5812/iranjradiol.41066
- ISSN
- 1735-1065
2008-2711
- 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.
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Collections - College of Medicine > Department of Radiology > 1. Journal Articles
- College of Medicine > Department of Pathology > 1. Journal Articles
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