Pal Madhumay, Ghosh Bidisha Naskar, Roy Chhaya, Manna Asim Kumar
Department of Radiotherapy, Institute of Post Graduate Medical Education and Research, and S.S.K.M. Hospital, 244, A.J.C. Bose Road, Kolkata - 700 020, West Bengal, India.
J Cancer Res Ther. 2010 Oct-Dec;6(4):564-6. doi: 10.4103/0973-1482.77075.
We report a case of biphasic synovial sarcoma of the mediastinum, a very rare tumor, in a 12-year-old boy with left-sided chest pain of 3 years duration at presentation. Chest X-ray showed left-sided opacity with loss of cardiac silhouette and the mediastinum deviated to the opposite side. Computed tomography (CT) of thorax showed left-sided posterior mediastinal mass with left-sided pleural effusion and pleural thickening. CT guided fine needle aspiration cytology (FNAC) from the mass reported it as spindle cell variant of adenocarcinoma. Ultrasonography (USG) of the whole abdomen revealed no abnormality. The mediastinal tumor was resected by left thoracotomy and histopathological report confirmed it to be a biphasic synovial sarcoma with capsule invasion at places.
我们报告一例纵隔双相滑膜肉瘤，这是一种非常罕见的肿瘤，患者为一名12岁男孩，就诊时左侧胸痛已持续3年。胸部X线显示左侧肺野模糊，心影消失，纵隔向对侧移位。胸部计算机断层扫描（CT）显示左侧后纵隔肿块，伴有左侧胸腔积液和胸膜增厚。CT引导下对肿块进行细针穿刺抽吸细胞学检查（FNAC），报告为腺癌的梭形细胞变体。全腹部超声检查（USG）未发现异常。通过左胸切开术切除纵隔肿瘤，组织病理学报告证实为双相滑膜肉瘤，局部有包膜侵犯。
