흉막에 발생한 원발성 윤활막육종 1예
A case of primary synovial sarcoma of the pleura
송민수, 조영관, 이완복, 서기현, 김용훈, 김윤정, 나주옥,
소속 상세정보
송민수 ( Song Min-Soo )
순천향대학교 의과대학 내과학교실
조영관 ( Cho Young-Kwan )
순천향대학교 의과대학 내과학교실
이완복 ( Lee Wan-Bok )
순천향대학교 의과대학 내과학교실
서기현 ( Seo Ki-Hyun )
순천향대학교 의과대학 내과학교실
김용훈 ( Kim Yong-Hoon )
순천향대학교 의과대학 내과학교실
김윤정 ( Kim Yoon-Jung )
순천향대학교 의과대학 병리과학교실
나주옥 ( Na Joo-Ock )
순천향대학교 의과대학 내과학교실
KMID : 0882420040670050556
Abstract
Synovial sarcoma is a malignant soft tissue tumor originated from primitive mesenchymal cell and displays epithelial differentiation. Synovial sarcoma most commonly occurs in the peri-articular regions of the extremities in adolescents and young adults. But primary synovial sarcoma of the pleura is extremely rare. The present report describes a case of primary synovial sarcoma of the pleura in a 35-year-old male who showed unilateral spontaneous hemothorax as initial manifestation. The tumor mass was removed by open thoracotomy. The tumor was composed of oval to spindle cells with abundant vascular structures. Some of the spindle-shaped tumor cells express cytokeratin. A diagnosis of monophasic fibrous synovial sarcoma was made by histologic and immunologic features. The patient received chemotherapy postoperatively and showed no evidence of recurrence or tumor at other sites 1 year after surgery.
키워드
Sarcoma;Synovial;Pleura;Hemothorax
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