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原发性胸膜滑膜肉瘤病例报告,一种罕见的胸壁肿物病因。

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

作者信息

Imen Mgarrech, Ahmed Lasmar, Wissal Rouabeh, Bechir Ben Radhia, Taieb Cherif

机构信息

Sahloul University Hospital, Tunisia.

Sahloul University Hospital, Tunisia.

出版信息

Int J Surg Case Rep. 2025 Jan;126:110663. doi: 10.1016/j.ijscr.2024.110663. Epub 2024 Nov 25.

DOI:10.1016/j.ijscr.2024.110663
PMID:39616741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11648262/
Abstract

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.

摘要

引言与重要性

滑膜肉瘤是侵袭性软组织恶性肿瘤。胸壁受累并不常见,极为罕见。

病例介绍

我们报告一例出现胸痛和壁层肿瘤的患者。影像学检查发现胸膜增厚,提示肿瘤已侵犯胸壁外。扫描引导下的肿块活检显示为滑膜肉瘤。患者接受了彻底的肿瘤切除手术,并针对低氧性肺病进行了复杂的术后管理。

临床讨论

对于侵袭性恶性肿瘤,手术、化疗和放疗相结合的综合治疗策略的疗效仍不明确,完整切除肿瘤至关重要。专家通常推荐辅助放疗,但化疗的重要性是多方面的。

结论

我们强调这些肿瘤胸部定位的罕见性、其独特的临床表现以及各种治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c2/11648262/20ea6c9a0e5c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c2/11648262/a8210eecebf4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c2/11648262/20ea6c9a0e5c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c2/11648262/a8210eecebf4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c2/11648262/20ea6c9a0e5c/gr2.jpg

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