Laasri Khadija, Zhim Meriem, Halfi Ismail Mohamed, Imrani Kaoutar, Billah Nabil Moatassim, Nassar Ittimade
Radiology Department, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco.
Radiol Case Rep. 2022 Dec 21;18(3):878-881. doi: 10.1016/j.radcr.2022.11.058. eCollection 2023 Mar.
Synovial sarcomas are considered as one of the most aggressive neoplasms that account for approximately 8% of all soft tissue sarcomas; they are mainly localized in soft tissues of the extremities and joints and rarely occur in the thorax. In this case report, we describe a 34-year-old woman presenting a chest pain with a chest radiography showing a mass lesion occupying two-thirds of the right hemi-thorax. A malignant pulmonary tumor was suspected after CT imaging revealing a bilateral renal metastasis, and then a spindle-cell carcinoma was thought-about. The post-operative pathological analysis of the main mass confirmed the diagnosis of a pulmonary synovial sarcoma.
滑膜肉瘤被认为是最具侵袭性的肿瘤之一，约占所有软组织肉瘤的8%；它们主要位于四肢和关节的软组织中，很少发生于胸部。在本病例报告中，我们描述了一名34岁女性，她因胸痛进行胸部X线检查，结果显示有一个占位性病变占据了右半胸的三分之二。CT成像显示双侧肾转移后，怀疑为恶性肺肿瘤，随后考虑为梭形细胞癌。对主要肿块进行术后病理分析，确诊为肺滑膜肉瘤。
