Key result
Surgical resection and chemotherapy fail to prevent huge synovial sarcoma recurrence at 6 months.
Case Report (n=1)
This case report highlights the rare occurrence of synovial sarcoma in the chest wall and its potential for rapid recurrence.
Rapid recurrence after resection and chemotherapy in chest wall synovial sarcoma warrants close surveillance; leaves open optimal adjuvant strategies for this rare entity.
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.
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Braham et al. (2013) conducted a case report in Synovial sarcoma of the chest wall (n=1). Surgical resection (parietectomy) and adjuvant chemotherapy was evaluated on Tumor recurrence. A 57-year-old woman with synovial sarcoma of the chest wall underwent surgical resection and adjuvant chemotherapy but presented with a recurrent huge parietal mass 6 months later.
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