Kanemitsu Yukari, Inoue Naonori, Sirakawa Atsushi, Mandai Koichiro, Kawamura Takuji, Uno Koji
Department of Gastroenterology, Kyoto Second Red Cross Hospital, Kyoto, JPN.
Cureus. 2022 Mar 9;14(3):e23014. doi: 10.7759/cureus.23014. eCollection 2022 Mar.
Synovial sarcoma is a malignant soft tissue tumor that often occurs near the limb joints. Here, we report a case of a patient with a synovial sarcoma that occurred in the mediastinum. The initial pathological diagnosis was suspected angiofibroma after surgical resection. After surgery, the tumor recurred in the pericardium and caused cardiac tamponade. Pericardial fenestration was performed and the patient was diagnosed with synovial sarcoma. The final diagnosis was the postoperative pericardial recurrence of the mediastinal synovial sarcoma. It is important to consider follow-up on the basis of the malignant tumor, especially if the disease is rare.
滑膜肉瘤是一种常发生于四肢关节附近的恶性软组织肿瘤。在此，我们报告一例发生于纵隔的滑膜肉瘤患者。手术切除后最初的病理诊断怀疑为血管纤维瘤。术后肿瘤在心包复发并导致心脏压塞。进行了心包开窗术，患者被诊断为滑膜肉瘤。最终诊断为纵隔滑膜肉瘤术后心包复发。对于恶性肿瘤，尤其是罕见疾病，进行随访很重要。
