A case of primary pleural synovial sarcoma with endobronchial recurrence

Respirology Case Reports

Kit Weng Foong¹  Norsalwa Abdul Ghani²  Yoke Fong Lam³  Jen Lye Wan³  Kumaresh Lachmanan³ 

[1] Department of Anaesthesia Hospital Raja Permaisuri Bainun Ipoh Malaysia;Department of Pathology Hospital Raja Permaisuri Bainun Ipoh Malaysia;Department of Respiratory Hospital Raja Permaisuri Bainun Ipoh Malaysia;

关键词: Endobronchial metastases;    lung sarcoma;    primary pleural synovial sarcoma;   

DOI  :  10.1002/rcr2.547

来源: DOAJ

【 摘 要 】

Abstract Primary pleural synovial sarcoma (PPSS) is an extremely rare malignancy without a known cause. The diagnosis is made after excluding metastasis from an extra‐thoracic sarcoma. We report a case of a 67‐year‐old gentleman who presented with an incidental finding of a left lung mass on a routine chest X‐ray. A computed tomography (CT) of the thorax and whole‐body positron emission tomography (PET)‐CT was done confirming a left lung mass with no other extra‐thoracic involvement. A lobectomy was performed with a diagnostic and therapeutic intent. The histopathological examination and immunohistochemistry study revealed a pleural‐based tumour with features suggestive of synovial sarcoma. Subsequently, he underwent post‐operative radiotherapy. However, three months later, he developed an endobronchial recurrence, complicated by post‐obstructive pneumonia resulting in his demise. This case highlights a rare form of malignancy with a rare site of recurrence.

【 授权许可】

Unknown