Synovial Sarcoma Arising in the Chest Wall Following Ten Years Unexplained Chest Pain

Hideyasu Kudo, Tsutomu Inaoka, Wataru Tokuyama, Nobuyuki Hiruta, Akiteru Hayashi, Hitoshi Terada

Department of Radiology, Department of Surgical Pathology Toho University Sakura Medical Center, Tokyo, Japan.
Toho University Sakura Medical Center, Tokyo, Japan.

DOI: 10.4236/ojrad.2012.23016                

Abstract

Synovial sarcomas are the fourth most common malignant soft-tissue tumors, and typically develop in para-articular locations of the extremities. Other less common sites include the head and neck, abdominal wall, intra-abdominal cavity, and mediastinum. However, the occurrence of these tumors in the chest wall is rare. In this article, we report the interesting case of a 31-year-old male with monophasic synovial sarcoma arising in the left anterior chest wall, who had sustained an unexplained, intermittent sharp pain in the area over a period of ten years before the development of the tumor. We discuss his clinical and radiological findings and include a brief review of the literature.

Keywords

Synovial Sarcoma; Pain; Chest; CT; MRI

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	M. D. Murphey, M. S. Gibson, B. T. Jennings, et al., “Imaging of Synovial Sarcoma with Radiologic-Pathologic Correlation,” Radiographics, Vol. 26, 2006, pp. 1543-1565. doi:10.1148/rg.265065084
[2]	A. A. Frazier, T. J. Franks, R. D. Pugatch and J. R. Galvin, “Pleuropulmonary Synovial Sarcoma,” Radiographics, Vol. 26, 2006, pp. 923-940. doi:10.1148/rg.263055211
[3]	P. J. O’Sullivan, A. C. Harris and P. L. Munk, “Radiological Features of Synovial Cell Sarcoma,” British Journal of Radiology, Vol. 81, No. 964, 2008, pp. 346-356. doi:10.1259/bjr/28335824
[4]	D. Kawano, I. Yoshino, F. Shoji, et al., “Synovial Sarcoma of the Chest Wall,” General Thoracic Cardiovascular Surgery, Vol. 58, No. 2, 2010, pp. 95-97. doi:10.1007/s11748-009-0480-7
[5]	B. W. Scheithauer, K. K. Amrami, A. L. Folpe, et al., “Synovial Sarcoma of Nerve,” Human Pathology, Vol. 42, No. 4, 2011, pp. 568-577. doi:10.1016/j.humpath.2010.08.019
[6]	L. T. Bui-Mansfield, K. J. Kaplan and J. Boardman, “Synovial Sarcoma of the Chest Wall,” American Journal of Roentgenology, Vol. 179, 2002, p. 880.
[7]	M. V. C. De Silva, A. Barrett and R. Reid, “Premonitory Pain Preceeding Swelling: A Distinctive Clinical Presentation of Synovial Sarcoma Which May Prompt Early Detection,” Sarcoma, Vol. 7, No. 3-4, 2003, pp. 131-135. doi:10.1080/13577140310001644788
[8]	N. L. Cadman, E. H. Soule and P. J. Kelly, “Synovial Sarcoma: An Analysis of 134 Tumours,” Cancer, Vol. 18, No. 5, 1965, pp. 613-627. doi:10.1002/1097-0142(196505)18:5<613::AID-CNCR2820180510>3.0.CO;2-V
[9]	K. R. Shahid, K. K. Amrami and R. J. Spinner, “Primary Monophasic Synovial Sarcoma Presenting as a Benign Neurogenic Timor: Case Review and Review of the Literature,” Journal of Surgical Orthopaedic Advances, Vol. 19, No. 2, 2010, pp. 129-133.