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Laparoscopic Endoscopic Surgical Science Primer Plevral Sinovyal Sarkom Olgusu [Respir Case Rep]
Respir Case Rep. 2022; 11(2): 88-92 | DOI: 10.5505/respircase.2022.85579

Primer Plevral Sinovyal Sarkom Olgusu

Kadir Canolu1, smail Ylmaz2, Tayfun Calkan1, mer Ayten1, Ouzhan Okutan1, Zafer Kartalolu1, Neslihan Kaya Terzi3
1Salk Bilimleri niversitesi, Sultan 2. Abdlhamid Han Eitim ve Aratrma Hastanesi, Gs Hastalklar Klinii, stanbul
2Salk Bilimleri niversitesi, Sultan 2. Abdlhamid Han Eitim ve Aratrma Hastanesi, Patoloji Klinii, stanbul
3Salk Bilimleri niversitesi, Gaziosmanpaa Eitim ve Aratrma Hastanesi, Patoloji Klinii, stanbul

Primer plevral sinovyal sarkom tanl 29 yanda erkek hastann, geliinde herhangi bir ikayeti yoktu, sigara imiyordu ve zgemiinde zellik yoktu. PA akcier grafisinde, gs duvarna bitiik dzgn snrl dev kitle izlendi. Toraks BTsinde; sa hemitoraks latera-linde, diffz amorf kalsifikasyon ieren solid kitlesel lezyon tespit edildi. PET/BTde, tanmlanan lezyonda SUVmax 5.0 olan F18-FDG tutulumu saptand. Tru-cut biyopsi sonucunda, histolojik olarak monofazik, youn hcresel ve birbiri zerine geen fasikllerin oluturduu isi hcreler, SYT-SSX1 fzyon (X;18)(p11.23;q11) saptanmas zerine sinovyal sarkom tans kondu. Cerrahi ve kemoradyoterapi sonrasnda 1 yldr stabil olarak onkoloji merkezinde takip edilmektedir. Bu yaz, nadir grlen ve agresif bir tumor olan primer plevral sinovyal sarkomun tan basamaklar ve iyi sonular alnabilmesi iin hzlca tedavisinin balanmasna dikkat ekmeyi amalamak-tadr.

Anahtar Kelimeler: Akcier kanseri, plevra, sinovyal sarkom

A Case of Primary Pleural Synovial Sarcoma

Kadir Canolu1, smail Ylmaz2, Tayfun Calkan1, mer Ayten1, Ouzhan Okutan1, Zafer Kartalolu1, Neslihan Kaya Terzi3
1Department of Pulmonology, Health Science University, Sultan II. Abdlhamid Han Training and Research Hospital, stanbul, Trkiye
2Department of Pathology, Health Science University, Sultan II. Abdlhamid Han Training and Research Hospital, stanbul, Trkiye
3Department of Pathology, Health Science University, Gaziosmanpaa Training and Research Hospital, stanbul, Trkiye

We present here the case of a 29-year-old male with primary pleural synovial sarcoma. The patient had no complaints, no significant medical history and did not smoke. A well-circumscribed giant mass, adjacent to the chest wall was observed on a PA chest X-ray, with a solid mass lesion in the lateral right hemithorax with diffuse amorphous calcifications noted on thorax computed tomography. An F18-FDG uptake with a SUVmax of 5.0 was detected in the mass defined by PET/CT. A Tru-cut biopsy revealed monophasic as histological subtypes composed of a dense cellular and interlaced fascicular proliferation of spindle cells, and SYT-SSX1 fusion (X;18)(p11.23;q11) consistent with synovial sarcoma. The patient was followed-up in the oncology center after surgery and chemoradio-therapy, and has been stable for 1 year. This paper draws attention to a diagnostic approach to primary pleural synovial sarcoma, which is a rare and aggres-sive tumor, and the need for the prompt initiation of treatment for an improved outcome.

Keywords: Lung cancer, pleura, synovial sarcoma





Kadir Canolu, smail Ylmaz, Tayfun Calkan, mer Ayten, Ouzhan Okutan, Zafer Kartalolu, Neslihan Kaya Terzi. A Case of Primary Pleural Synovial Sarcoma. Respir Case Rep. 2022; 11(2): 88-92

Sorumlu Yazar: Kadir Canolu, Trkiye
Makale Dili: ngilizce
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