Synovial sarcoma of the mediastinum: report of a case.
We report a case of synovial sarcoma of the mediastinum, a very rare tumor, in a 50-year-old man hospitalized with anterior chest pain. Chest X-ray and computed tomography (CT) on admission showed a 10 x 8-cm mass in the right anterior mediastinal space, compressing the superior vena cava. A diagnosis of sarcoma was established by a CT-guided percutaneous needle biopsy. Systemic examination revealed no metastasis to the contralateral pleural cavity or other distant organs, and we resected the mediastinal sarcoma. Pathological and immunohistochemical analyses confirmed a diagnosis of monophasic synovial sarcoma. The patient is alive with recurrence 9 months after his operation, and is receiving chemotherapy with ifosfamide.
Gotoh
Masashi
M
Respiratory Disease Center, Kyoto-Katsura Hospital, Kyoto, Japan.
Furukawa
Sachiho
S
Motoishi
Makoto
M
Fujimoto
Toshio
T
Okazaki
Tsuyoshi
T
Matsukura
Tadashi
T
Hanawa
Takeshi
T
Yamashita
Naoki
N
Matsui
Teruo
T
Kuwabara
Masayoshi
M
Matsubara
Yoshito
Y
D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D008875:Middle Aged; D013584:Sarcoma, Synovial / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed