Open AccessA case of primary pleural synovial sarcoma with endobronchial recurrence
Author(s) -
Wan Jen Lye,
Lam Yoke Fong,
Foong Kit Weng,
Abdul Ghani Norsalwa,
Lachmanan Kumaresh
Publication year - 2020
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/rcr2.547
Subject(s) - medicine , malignancy , radiology , synovial sarcoma , sarcoma , lung , thorax (insect anatomy) , metastasis , pleural effusion , pathology , cancer , anatomy
Primary pleural synovial sarcoma (PPSS) is an extremely rare malignancy without a known cause. The diagnosis is made after excluding metastasis from an extra‐thoracic sarcoma. We report a case of a 67‐year‐old gentleman who presented with an incidental finding of a left lung mass on a routine chest X‐ray. A computed tomography (CT) of the thorax and whole‐body positron emission tomography (PET)‐CT was done confirming a left lung mass with no other extra‐thoracic involvement. A lobectomy was performed with a diagnostic and therapeutic intent. The histopathological examination and immunohistochemistry study revealed a pleural‐based tumour with features suggestive of synovial sarcoma. Subsequently, he underwent post‐operative radiotherapy. However, three months later, he developed an endobronchial recurrence, complicated by post‐obstructive pneumonia resulting in his demise. This case highlights a rare form of malignancy with a rare site of recurrence.