Primary Pleural Synovial Sarcoma with Metastatic Cardiac Involvement: A Case Report
| Author | Ji-Hye Won | en |
| Author | Susie Chin | en |
| Author | Jai Soung Park | en |
| Author | Sang Hyun Paik | en |
| Author | Heon Lee | en |
| Author | Jang Gyu Cha | en |
| Author | Hwa Kyoon Shin | en |
| Author | Eun Suk Koh | en |
| Issued Date | 2016-10-01 | en |
| Abstract | Primary pleuropulmonary synovial sarcomas are rare soft tissue malignancies; combined metastatic involvement of the heart is extremely rare. In this case report, a 17-year-old female presented with a history of chest pain. Chest radiographs revealed a round mass in the left upper hemithorax, and computed tomography (CT) showed a well-defined heterogeneous enhancing mass abutting the pleura. A core needle biopsy revealed malignant spindle cells. Surgical resection was performed, and a final diagnosis of primary pleural synovial sarcoma, monophasic fibrous type, was made. The patient underwent radical irradiation and chemotherapy and remained stable for 28 months until a follow-up chest CT showed a poorly enhancing nodule in the left pericardial region that enlarged after 5 months. Surgical resection was performed. Histological examination confirmed metastatic cardiac involvement from a primary pleural synovial sarcoma. We report this unusual case of a primary pleural synovial sarcoma metastasis to the heart. | en |
| DOI | https://doi.org/10.5812/iranjradiol.41066 | en |
| Keyword | Sarcoma | en |
| Keyword | Metastasis | en |
| Keyword | Heart | en |
| Keyword | Computed Tomography (CT) | en |
| Publisher | Brieflands | en |
| Title | Primary Pleural Synovial Sarcoma with Metastatic Cardiac Involvement: A Case Report | en |
| Type | Case Report | en |