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Yeungnam Univ J Med > Volume 30(1); 2013 > Article
Yeungnam University Journal of Medicine 2013;30(1):51-54.
DOI:    Published online June 30, 2013.
A Case of Synovial Sarcoma in Mediastinum.
Yong Hoon Yoon, Dong Uk Kang, Eun Jeong Gong, Sang Yong Om, Jin Seo Lee, Ji Won Lyu, Woo Sung Kim
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. wskim2@amc.seoul.k
Synovial sarcoma is a rare malignancy in the thoracic cavity, especially in the mediastinum. In this paper, a case of primary mediastinal synovial sarcoma is reported. A 34-year-old woman was hospitalized with dyspnea. Her chest X-ray and computed tomography (CT) showed a 16x13x11 cm mass in her anterior mediastinal space. Surgical resection was performed but was incomplete. The pathological and immunohistochemical analysis confirmed the diagnosis of monophasic spindle cell synovial sarcoma. The patient underwent adjuvant radiotherapy for two months, but local recurrence and metastasis occurred in her pleural cavity. She eventually underwent chemotherapy for one year and died 18 months after her operation.
Key Words: Sarcoma, Synovial, Mediastinum


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