Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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A Case of Synovial Sarcoma in Mediastinum

종격동 내 발생한 활막 육종 1예

  • Yoon, Yong Hoon (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kang, Dong Uk (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Gong, Eun Jeong (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Om, Sang Yong (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Jin Seo (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lyu, Ji Won (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Woo Sung (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 윤용훈 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 강동욱 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 공은정 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 엄상용 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 이진서 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 류지원 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 김우성 (울산대학교 의과대학 서울아산병원 내과학교실)
  • Received : 2013.01.31
  • Accepted : 2013.04.11
  • Published : 2013.06.30
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Abstract

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 $16{\times}13{\times}11$ 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.

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