Poorly differentiated monophasic synovial sarcoma of the mediastinum

Poorly differentiated synovial sarcoma is a diagnostically challenging neoplasm. Most commonly they occur in the soft tissue of the extremities and are rare in the mediastinum. They can be indistinguishable from other "round cell tumors" based on the morphology alone or at times by immunoh...

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Main Authors: Maha Arafah, Shaesta N Zaidi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2011;volume=54;issue=2;spage=384;epage=387;aulast=Arafah
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author Maha Arafah
Shaesta N Zaidi
author_facet Maha Arafah
Shaesta N Zaidi
author_sort Maha Arafah
collection DOAJ
description Poorly differentiated synovial sarcoma is a diagnostically challenging neoplasm. Most commonly they occur in the soft tissue of the extremities and are rare in the mediastinum. They can be indistinguishable from other "round cell tumors" based on the morphology alone or at times by immunohistochemical studies. Here in, we report an extremely rare case of metastatic poorly differentiated monophasic synovial sarcoma of the mediastinum without a known primary in a 30-year-old man. The imaging studies on admission showed 10 × 9.5 cm anterior mediastinal mass with multiple nodules in the lung and pleura along with multiple enlarged mediastinal and axillary lymph nodes. Histopathologic and immunohistochemical analysis supported the diagnosis of poorly differentiated synovial sarcoma, which was further confirmed by molecular genetic analysis.
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spelling doaj.art-2ac54e8b9f23489aaf3d2e0f1df94e982022-12-22T01:23:47ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292011-01-0154238438710.4103/0377-4929.81650Poorly differentiated monophasic synovial sarcoma of the mediastinumMaha ArafahShaesta N ZaidiPoorly differentiated synovial sarcoma is a diagnostically challenging neoplasm. Most commonly they occur in the soft tissue of the extremities and are rare in the mediastinum. They can be indistinguishable from other "round cell tumors" based on the morphology alone or at times by immunohistochemical studies. Here in, we report an extremely rare case of metastatic poorly differentiated monophasic synovial sarcoma of the mediastinum without a known primary in a 30-year-old man. The imaging studies on admission showed 10 × 9.5 cm anterior mediastinal mass with multiple nodules in the lung and pleura along with multiple enlarged mediastinal and axillary lymph nodes. Histopathologic and immunohistochemical analysis supported the diagnosis of poorly differentiated synovial sarcoma, which was further confirmed by molecular genetic analysis.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2011;volume=54;issue=2;spage=384;epage=387;aulast=ArafahImmunohistochemistrymediastinumsynovial sarcoma
spellingShingle Maha Arafah
Shaesta N Zaidi
Poorly differentiated monophasic synovial sarcoma of the mediastinum
Indian Journal of Pathology and Microbiology
Immunohistochemistry
mediastinum
synovial sarcoma
title Poorly differentiated monophasic synovial sarcoma of the mediastinum
title_full Poorly differentiated monophasic synovial sarcoma of the mediastinum
title_fullStr Poorly differentiated monophasic synovial sarcoma of the mediastinum
title_full_unstemmed Poorly differentiated monophasic synovial sarcoma of the mediastinum
title_short Poorly differentiated monophasic synovial sarcoma of the mediastinum
title_sort poorly differentiated monophasic synovial sarcoma of the mediastinum
topic Immunohistochemistry
mediastinum
synovial sarcoma
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2011;volume=54;issue=2;spage=384;epage=387;aulast=Arafah
work_keys_str_mv AT mahaarafah poorlydifferentiatedmonophasicsynovialsarcomaofthemediastinum
AT shaestanzaidi poorlydifferentiatedmonophasicsynovialsarcomaofthemediastinum