Primary synovial sarcoma of the posterior chest wall.
Synovial sarcoma is a malignant soft-tissue tumor that most commonly occurs in the extremities of young adults. Only several cases of synovial sarcomas of the chest wall and pleura had been reported. We present a 24-year-old man who had right back pain, chest pain, dyspnea, and intermittent fever from a huge primary synovial sarcoma of the right posterior chest wall. Multimodality therapies, including surgical resection, and chemotherapy and radiation therapy were applied, but the tumor progressed rapidly and the patient died 6 months after diagnosis. Prompt diagnosis and aggressive surgical resection is mandatory for primary synovial sarcoma of the chest wall because of its aggressive behavior.
Hung
Jung-Jyh
JJ
Department of Surgery, Cathay General Hospital, School of Medicine, Fu Jen Catholic University, Taipei, Taiwan.
Chou
Teh-Ying
TY
Sun
Chih-Hao
CH
Liu
Jung-Sen
JS
Hsu
Wen-Hu
WH
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001706:Biopsy; D017024:Chemotherapy, Adjuvant; D018450:Disease Progression; D006801:Humans; D008297:Male; D010166:Palliative Care; D013584:Sarcoma, Synovial / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D013899:Thoracic Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D035441:Thoracic Wall / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed