Open AccessAn unusual endobronchial lesion: expanding the differential diagnosis
Author(s) -
Leonard Rachel,
Schultz Charles,
Hadique Sarah
Publication year - 2019
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.429
Subject(s) - medicine , synovial sarcoma , differential diagnosis , radiology , sarcoma , thorax (insect anatomy) , lesion , metastasis , nodule (geology) , soft tissue sarcoma , soft tissue , pathology , anatomy , cancer , paleontology , biology
Synovial sarcoma is a rare tumour, accounting for approximately 2.5–10% of all soft tissue sarcomas. In the thorax, it most often presents as a large, homogenous mass and, most commonly, is the result of extrathoracic tumour metastasis. Here, we report a case of a 73‐year‐old male who presented to the hospital after a motor vehicle collision. Chest computed tomography demonstrated a 2.0 × 2.4 cm left lower lobe pulmonary nodule with endobronchial extension and a 2.5 × 2.1 cm right‐sided kidney mass. He was eventually diagnosed with monophasic synovial sarcoma. To date, only seven other cases of primary pulmonary synovial sarcoma with endobronchial extension have been reported. A review of the cases and literature is discussed.