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Primary pericardial synovial sarcoma.
Takashi Muramatsu1, Shinji Takeshita1, Yoko Tanaka1
1Department of Surgery, Nihon University School of Medicine, Tokyo, Japan.
Journal of Thoracic Disease
|December 2, 2015
Summary
This case report details a rare pericardial synovial sarcoma in a 57-year-old man. Despite treatment, the mediastinal tumor progressed, leading to the patient's death.
Area of Science:
- Cardiovascular Pathology
- Oncology
- Thoracic Surgery
Background:
- Synovial sarcoma is a rare soft tissue malignancy typically arising in the extremities.
- Pericardial involvement by synovial sarcoma is exceptionally uncommon.
Observation:
- A 57-year-old male presented with cardiomegaly and a mediastinal mass on imaging.
- A pericardial tumor was diagnosed as synovial sarcoma via biopsy.
Findings:
- The patient underwent surgery, radiotherapy, and chemotherapy for the pericardial synovial sarcoma.
- Despite initial tumor shrinkage, the malignancy recurred and progressed.
Implications:
- This case highlights the potential for synovial sarcoma to occur in rare intrathoracic locations.
- It underscores the challenges in managing advanced pericardial malignancies.
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