Korula A, Shah A, Philip M A, Kuruvila K, Pradhip J, Pai M C, Chacko R T
Department of Pathology, Christian Medical College Hospital, Tamil Nadu, India.
Singapore Med J. 2009 Jan;50(1):e26-8.
Synovial sarcoma is a distinctive soft tissue neoplasm, most commonly seen in the extremities of young adults. Mediastinal synovial sarcoma is a well-documented entity; however, in many cases, the differentiation between this and other spindle cell tumours may be difficult, especially in monophasic tumours. Unlike most pleuropulmonary synovial sarcomas which are well circumscribed, mediastinal tumours are often infiltrative and resection may not be adequate, leading to a high rate of recurrence. We present a 49-year-old man with a primary pericardial synovial sarcoma, with transdiaphragmatic intra-abdominal extension, which clinically, radiologically and grossly mimicked a tuberculous pericarditis.
滑膜肉瘤是一种独特的软组织肿瘤，最常见于年轻成年人的四肢。纵隔滑膜肉瘤是一种有充分文献记载的实体；然而，在许多情况下，区分它与其他梭形细胞肿瘤可能很困难，尤其是在单相肿瘤中。与大多数边界清晰的胸膜肺滑膜肉瘤不同，纵隔肿瘤通常具有浸润性，手术切除可能不彻底，导致复发率很高。我们报告一名49岁男性，患有原发性心包滑膜肉瘤，并经膈肌向腹腔内蔓延，其临床、放射学和大体表现均酷似结核性心包炎。
