Key result
Right pneumonectomy at 28 weeks gestation for pulmonary sarcoma precedes fatal postpartum pulmonary embolism.
Case Report (n=1)
No
Surgical resection of primary pulmonary synovial sarcoma during pregnancy is feasible but carries a high risk of fatal complications such as postpartum pulmonary embolism.
High maternal mortality risk after pneumonectomy in pregnancy; leaves open optimal timing and antithrombotic strategies for rare thoracic sarcomas.
Background. Primary pulmonary synovial sarcoma is a rare malignancy with a poor prognosis. Surgical resection and postoperative management of these tumors has not been previously described in pregnancy. Case. A 38-year-old pregnant woman was admitted for evaluation of a right thoracic mass found on chest radiography at 26 weeks of gestation. A computed tomography-guided biopsy was subsequently completed and demonstrated a high-grade neoplasm. A right pneumonectomy was performed at 28 weeks of gestation due to pulmonary decompensation, and pathological examination revealed a pulmonary synovial sarcoma. The patient developed a postpartum pulmonary embolism and expired 6 weeks after delivery. Conclusion. Aggressive intervention for pulmonary malignancies during pregnancy may be necessary. Complete tumor resection is the most important prognostic factor in primary pulmonary synovial sarcoma.
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Bunch et al. (2012) conducted a case report in Primary pulmonary synovial sarcoma in pregnancy (n=1). Right pneumonectomy was evaluated. Right pneumonectomy was performed at 28 weeks gestation for primary pulmonary synovial sarcoma, but the patient developed a postpartum pulmonary embolism and expired 6 weeks after delivery.