Mukhopadhyay Sanjay, Aubry Marie-Christine
Department of Pathology, Mayo Clinic, Rochester, Minnesota 55901, USA.
J Thorac Oncol. 2007 Jul;2(7):660-1. doi: 10.1097/JTO.0b013e31807a2f99.
We present a case of recurrent primary synovial sarcoma of the chest wall in a 55-year-old man. Imaging at the time of recurrence revealed extensive involvement of the left pleural cavity by the tumor. The patient developed severe congestive heart failure with restrictive/constrictive physiology and subsequently died in the hospital 5 months after initial presentation. At autopsy, the tumor encased the entire left lung in a rind-like fashion and diffusely involved the pericardium. Recurrent synovial sarcoma was confirmed by histological examination. Synovial sarcoma should be considered in the differential diagnosis of chest masses, especially in young or middle-aged adults.
我们报告一例55岁男性复发性胸壁原发性滑膜肉瘤病例。复发时的影像学检查显示肿瘤广泛累及左胸腔。患者出现严重的心衰，伴有限制性/缩窄性生理改变，随后在初次就诊后5个月死于医院。尸检时，肿瘤呈外皮样包绕整个左肺，并弥漫累及心包。组织学检查确诊为复发性滑膜肉瘤。在胸部肿块的鉴别诊断中应考虑滑膜肉瘤，尤其是在中青年患者中。
