Ichimura Hideo, Kikuchi Shinji, Ozawa Yuichiro, Matsuzaki Kanji
Department of General Thoracic Surgery, Tsukuba Medical Center Hospital, Ibaraki, Japan.
Interact Cardiovasc Thorac Surg. 2013 Sep;17(3):588-90. doi: 10.1093/icvts/ivt234. Epub 2013 Jun 11.
A 48-year old man presented with chest pain and haemoptysis. Chest computed tomography showed a 60-mm mass in the left upper lobe of the lung, adjacent to the distal aortic arch. Bronchoscopic cytology revealed the presence of malignant cells and, in the absence of evidence of distant metastasis, a thoracotomy was performed. Although the tumour was firmly adherent to the distal aortic arch, under temporary bypass from the left subclavian artery to the descending aorta, it was successfully resected en bloc with the section of the aorta attached to it. The tumour was diagnosed as a primary synovial sarcoma of the lung on the basis of histopathological findings and fluorescent chromogenic in situ hybridization, showing SS18 gene rearrangement.
一名48岁男性因胸痛和咯血就诊。胸部计算机断层扫描显示左肺上叶有一个60毫米的肿块，毗邻主动脉弓远端。支气管镜细胞学检查发现存在恶性细胞，在没有远处转移证据的情况下，进行了开胸手术。尽管肿瘤与主动脉弓远端紧密粘连，但在从左锁骨下动脉到降主动脉的临时旁路支持下，成功地将其与附着的主动脉段整块切除。根据组织病理学检查结果和荧光显色原位杂交显示SS18基因重排，该肿瘤被诊断为原发性肺滑膜肉瘤。
