Fatimi Saulat Hasnain, Saleem Taimur
Department of Surgery, Division of Cardiothoracic Surgery, Aga Khan University, (Stadium Road), Karachi, (74800), Pakistan.
Cases J. 2009 Dec 15;2:9324. doi: 10.1186/1757-1626-2-9324.
Although synovial cell sarcoma is a common tumor of the extremities, its occurrence in the thorax has been less frequently documented.
A 46-year-old Pakistani man presented with a 2 month history of progressively increasing cough and left lower chest pain. Initial evaluation was done using a chest x-ray; the patient was found to have a large mass involving the lower portion of the left chest. A computed tomography scan was performed next which showed a large mass involving the left chest wall with invasion into the pericardium and left hemidiaphragm. En bloc surgical resection of the tumor was undertaken. Final pathology showed synovial cell sarcoma of the thorax. At one-year follow-up, the patient has shown no recurrence of the disease.
We have described a rare case of a large synovial cell sarcoma of the thorax. Surgical resection appears an appropriate modus operandi for managing giant synovial cell sarcomas of the thorax. However, there is a need to clearly define post-operative strategies for cases with extensive involvement of surrounding structures.
尽管滑膜肉瘤是四肢常见的肿瘤，但其在胸部的发生情况鲜有文献记载。
一名46岁的巴基斯坦男性，有2个月逐渐加重的咳嗽和左下胸痛病史。最初通过胸部X线进行评估；发现患者左胸下部有一个大肿块。接下来进行了计算机断层扫描，显示一个大肿块累及左胸壁，侵犯心包和左半膈肌。对肿瘤进行了整块手术切除。最终病理显示为胸部滑膜肉瘤。在一年的随访中，患者未出现疾病复发。
我们描述了一例罕见的巨大胸部滑膜肉瘤病例。手术切除似乎是治疗巨大胸部滑膜肉瘤的合适手术方式。然而，对于周围结构广泛受累的病例，需要明确界定术后策略。
