A case report of primary pleural synovial sarcoma, an uncommon etiology of a thoracic parietal mass.

INTRODUCTION AND IMPORTANCE

Synovial sarcomas are aggressive soft tissue malignancies. Damage to the chest wall is uncommon and rarely seen.

CASE PRESENTATION

We are reporting an observation of a patient who presented with chest pain and a parietal tumor. Radiological investigations have identified pleural thickening as an extension outside the chest wall. The mass biopsy guided by the scan revealed a synovial sarcoma. The patient underwent a thorough tumor removal surgery with complex postoperative management for hypoxemic pneumopathy.

CLINICAL DISCUSSION

The efficacy of a comprehensive treatment strategy combining surgery, chemotherapy, and radiotherapy for invasive malignancies is still unclear, with total tumor excision being essential. Experts often recommend adjuvant radiation therapy, but the importance of chemotherapy is multifaceted.

CONCLUSION

We emphasize the rarity of chest localization for these tumors, their unique clinical presentation, and the various therapeutic approaches.