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Case Reports
. 2013 Apr;1(1):9.
doi: 10.3978/j.issn.2305-5839.2013.01.09.

Synovial sarcoma of the chest wall: a case report and literature review

Emna Braham  1 , Slim Aloui  1 , Samira Aouadi  1 , Ikram Drira  1 , Tarek Kilani  1 , Faouzi El Mezni  1
Affiliations
Case Reports

Synovial sarcoma of the chest wall: a case report and literature review

Emna Braham et al. Ann Transl Med. 2013 Apr.

Abstract

Synovial sarcoma is a malignant soft-tissue tumor that most commonly occurs in the extremities of young adults. Synovial sarcoma arising from the chest wall is rare and only some cases had been reported in the literature. We present a 57-year-old woman who presented with chest pain. Radiologic evaluation revealed a right parietal tumor destructing the mid-portion of the 8(th) rib, with heterogeneous enhancement and invasion of the pectoral muscle and extra pleural fat. A surgical resection consisting in parietectomy was achieved. The histological and immunohistochemical findings were consistent with synovial sarcoma. An adjuvant chemotherapy was prescribed but the patient was lost of view. She presented 6 months later with a recurrent huge parietal mass.

Keywords: Synovial sarcoma; chest wall; histology; surgery.

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Figures

Figure 1
Figure 1
Chest computed tomography showing a large, heterogeneous, enhanced mass in the right hemithorax centered on the body of the 8th rib.
Figure 2
Figure 2
Macroscopic slide showing a well-circumscribed, lobulated tumor with a gray white cut surface, necrotic and cystic changes invading the 8th resected rib.
Figure 3
Figure 3
Spindle tumor cells are arranged in a fascicular pattern with hemangiopericytoid vasculature.
Figure 4
Figure 4
Uniform spindle shaped cells with quit undefined cell borders, elongated or ovoid vesicular and atypical nuclei.
See this image and copyright information in PMC

References

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