Pericardial synovial sarcoma presenting with large recurrent pericardial effusion.
Primary pericardial synovial sarcoma is an extremely rare disease with a dismal prognosis. Its main presenting symptoms are a large pericardial effusion, signs of cardiac tamponade, and visualization of a pericardial mass on echocardiography. However, the systemic symptoms of fever, cough, and night sweats may present a clinical picture without any apparent pericardial mass on diagnostic imaging, potentially impeding the diagnosis. We report the case of a 34-year-old patient with fever and recurrent pericardial effusion for 2 years, who was diagnosed with primary pericardial synovial sarcoma after 2-year follow-up echocardiography.
Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Medical Center, Seoul, Korea.
Hyo Chul
HC
Youn
Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Medical Center, Seoul, Korea.
Yangyoun
Y
Lee
Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Medical Center, Seoul, Korea.
Soo-Cheol
SC
Kim
Synovial sarcoma; heart; pericardial effusion; pericardium