Imaging Manifestations of Multiple Primary Pleuropulmonary Synovial Sarcoma: A Case Report

Tianyuyi Feng1, Xiaomei Lin1, Erheng Cui1, Xiaojing Li2, Xiaohu Zhao1*

1Department of Radiology of the Fifth People's Hospital of Shanghai, Fudan University, China 2Department of Pathology of the Fifth People's Hospital of Shanghai, Fudan University, China

^*Correspondance to: Xiaohu Zhao 

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Abstract:

Primary Pleuropulmonary Synovial Sarcoma (PPSS) is a rare subtype of synovial sarcoma. Most reported cases involve single lesions, but our case involves multiple lesions occurring in different pleurae with both CT and MRI. A 42-year-old man presented to the Fifth People’s Hospital of Shanghai, Fudan University, with pain in the left upper chest without obvious cause for nearly half a year. There were no obvious abnormalities in multiple laboratory indicators of the patient. CT and MRI examinations showed multiple lesions on the left oblique fissure pleura and diaphragmatic pleura. The patient underwent surgery on January 19th, 2021 and multiple chemotherapy treatments subsequently. The postoperative pathology confirmed that it was monophasic-fibrous type synovial sarcoma. PPSS is highly malignant and rare; the correct diagnosis of radiologist will be of great importance for treatment and prognosis. We have CT and MRI images of the lesion for this patient, combined with the imaging characteristics of previously reported cases, looking forward to provide valuable information regarding the imaging manifestations of PPSS.

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Cite the Article:

Feng T, Lin X, Cui E, Li X, Zhao X. Imaging Manifestations of Multiple Primary Pleuropulmonary Synovial Sarcoma: A Case Report. Ann Clin Case Rep. 2022; 7: 2221..