title: A patient with primary pericardial synovial sarcoma who presented with cardiac tamponade: a case report and review of the literature.
abstract: A 36-year-old man presented with near-syncope. He was found to have massive pericardial effusion with a giant pericardial tumorous lesion. The pericardial effusion exhibited a bloody nature; however, neither malignant cells nor infectious organisms were detected. (18)F-fluorodeoxyglucose-positron emission tomography (FDG-PET) showed an increased uptake of FDG in the pericardial tumor only. Although the tumor was not resectable, thoracotomy and tissue sampling were performed. A histological analysis showed CD99 positivity and SYT gene rearrangement, leading to a diagnosis of synovial sarcoma arising from the left lateral pericardial surface. The patient is now receiving chemotherapy.
authors.affiliation: Department of Cardiology, Osaka Medical College, Japan.
authors.forename: Michishige
authors.initials: M
authors.lastname: Ohzeki
authors.forename: Shu-ichi
authors.initials: S
authors.lastname: Fujita
authors.forename: Hirota
authors.initials: H
authors.lastname: Miyazaki
authors.forename: Hideaki
authors.initials: H
authors.lastname: Morita
authors.forename: Sachiko
authors.initials: S
authors.lastname: Kanki
authors.forename: Hideki
authors.initials: H
authors.lastname: Ozawa
authors.forename: Takahiro
authors.initials: T
authors.lastname: Katsumata
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Kurisu
authors.forename: Motomu
authors.initials: M
authors.lastname: Tsuji
authors.forename: Jun
authors.initials: J
authors.lastname: Tanigawa
authors.forename: Koichi
authors.initials: K
authors.lastname: Sohmiya
authors.forename: Masaaki
authors.initials: M
authors.lastname: Hoshiga
authors.forename: Nobukazu
authors.initials: N
authors.lastname: Ishizaka
mesh_terms: D000328:Adult; D000903:Antibiotics, Antineoplastic / Q000627:therapeutic use; D002305:Cardiac Tamponade / Q000209:etiology*; D004317:Doxorubicin / Q000627:therapeutic use; D004452:Echocardiography; D019788:Fluorodeoxyglucose F18; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000150:complications* / Q000209:etiology; D010496:Pericardium / Q000473:pathology*; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D013584:Sarcoma, Synovial / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D016896:Treatment Outcome; D051598:Whole Body Imaging
chemical_list: D000903:Antibiotics, Antineoplastic; D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18; D004317:Doxorubicin