title: Multimodality management of primary diaphragmatic synovial sarcoma: First report.
abstract: Synovial cell sarcoma is an extremely rare tumor of mesenchymal origin. It commonly affects the soft tissues of the extremities but could possibly origin from the head and neck, heart, lung, pleura, mediastinum, esophagus, abdominal wall and the mesentery, and retroperitoneum. Primary synovial sarcoma of pleura, mediastinum, and lung have been reported. Primary synovial sarcoma of the diaphragm has not been reported to the best of our knowledge. We report a case of primary synovial cell sarcoma of the diaphragm presenting as a recurrent pleural effusion and pain in the left hypochondrium managed with multimodality approach.
authors.affiliation: Institute of Pulmonology, Medical Research and Development; Lung Care and Sleep Centre, Fortis Hospitals, Mumbai, Maharashtra, India.
authors.forename: Preyas J
authors.initials: PJ
authors.lastname: Vaidya
authors.affiliation: Department of Oncosurgery, Fortis Hospital Mulund, Mumbai, Maharashtra, India.
authors.forename: Anil
authors.initials: A
authors.lastname: Heroor
authors.affiliation: Department of Plastic Surgery, Fortis Hospital Mulund, Mumbai, Maharashtra, India.
authors.forename: Sitaram
authors.initials: S
authors.lastname: Prasad
authors.affiliation: Department of Radiology, Fortis Hospital Mulund, Mumbai, Maharashtra, India.
authors.forename: Rajat
authors.initials: R
authors.lastname: Bhargava
authors.affiliation: Department of General Surgery and Laparoscopy, Fortis Hospital Mulund, Mumbai, Maharashtra, India.
authors.forename: Nanadan
authors.initials: N
authors.lastname: Arulvannan
authors.affiliation: Department of Pathology, SRL Diagnostics, Mumbai, Maharashtra, India.
authors.forename: Jay
authors.initials: J
authors.lastname: Mehta
authors.affiliation: Department of Oncology, Fortis Hospital Mulund, Mumbai, Maharashtra, India.
authors.forename: Boman N
authors.initials: BN
authors.lastname: Dhabhar
authors.affiliation: Institute of Pulmonology, Medical Research and Development; Lung Care and Sleep Centre, Fortis Hospitals, Mumbai, Maharashtra, India.
authors.forename: Prashant N
authors.initials: PN
authors.lastname: Chhajed
mesh_terms: D014408:Biomarkers, Tumor; D001706:Biopsy; D003131:Combined Modality Therapy; D003964:Diaphragm / Q000473:pathology*; D019468:Disease Management; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging; D049268:Positron-Emission Tomography; D013584:Sarcoma, Synovial / Q000000981:diagnostic imaging* / Q000378:metabolism / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D014408:Biomarkers, Tumor