Key result
Rare primary pulmonary biphasic synovial sarcoma presenting as shoulder pain proves fatal within 7 months.
Why the study?
Biphasic synovial sarcoma originating from the pulmonary system is a rare form of aggressive malignancy that is rarely reported in the literature.
Case Report (n=1)
This case highlights a rare presentation of biphasic primary pulmonary synovial sarcoma in a patient initially presenting with shoulder pain after a fall.
Case report on synovial sarcoma; leaves open optimal management strategies in elderly patients.
Synovial sarcoma is a highly aggressive malignancy with a 10-year disease-free survival of around 50%. Synovial sarcoma accounts for 5 to 10% of all soft tissue sarcomas. It is more common in young people and adolescents and it is seen in lower extremities, especially around the knee. The prognosis of the disease is worse in the elderly population. Microscopic imaging, positive staining of epithelial markers and molecular study are required to confirm the the presence of the disease. We present a 44-year-old male patient with a history of falling from the same level and presenting with only shoulder pain. Further investigations have shown that our patient is a rare form of biphasic synovial sarcoma originating from the pulmonary system, which is rarely reported in the literature.
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Akgün et al. (2021) conducted a case report in Biphasic primary pulmonary synovial sarcoma (n=1). Chemotherapy was evaluated on Clinical outcome. A 44-year-old male presenting with shoulder pain was diagnosed with a rare primary pulmonary biphasic synovial sarcoma and died 7 months later due to pneumonia and multiorgan failure during chemotherapy.
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