Key result
Thoracoscopic lobectomy and lymphadenectomy for primary pulmonary synovial sarcoma yields no 1-year recurrence.
Why the study?
Primary pulmonary synovial sarcoma is rare, grows slowly, and has non-specific imaging findings that make it easily confused with lung cancer and other pulmonary tumours.
Case Report (n=1)
This case report highlights the rare presentation of primary pulmonary synovial sarcoma and its successful management with thoracoscopic lobectomy and lymphadenectomy.
Documents rare PPSS with hemoptysis; leaves open optimal diagnostic and therapeutic strategies.
Synovial sarcoma, a mesenchymal spindle cell malignancy commonly seen in young and middle-aged adults, typically occurs in the soft tissues around the major joints of the extremities, with some reports of occurrences outside the joints. However, primary pulmonary cases are rare. This study reports a 52-year-old female patient who was admitted due to coughing and recurrent haemoptysis and was ultimately diagnosed with primary pulmonary synovial sarcoma (PPSS) through surgery and pathology after a series of examinations, including computed tomography scans and bronchoscopy. The tumour was located at the orifice of the dorsal segment of the right lower lobe, and she underwent thoracoscopic right lower lobectomy + lymphadenectomy. After 1 year of follow-up, the patient was in good general condition, without discomfort or signs of tumour recurrence or metastasis. PPSS grows slowly and presents insidiously, with imaging findings lacking specificity, making it easily confused with lung cancer and other pulmonary tumours. In conclusion, this case provides physicians with insights into the clinical presentation, imaging features and necessary pathological and molecular biological tests for PPSS diagnosis, which is essential for improving diagnostic accuracy.
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Li et al. (2025) conducted a case report in Primary pulmonary synovial sarcoma (n=1). Thoracoscopic right lower lobectomy + lymphadenectomy was evaluated on Tumour recurrence or metastasis. Thoracoscopic right lower lobectomy and lymphadenectomy in a 52-year-old female with primary pulmonary synovial sarcoma resulted in good general condition with no recurrence or metastasis at 1 year.
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