A Case report: Synovial sarcoma of the mediastinum in an 18-year-old teenager

Synovial sarcomas (SSs) are a rare group of malignant tumors originating from pluripotential mesenchymal cells, which commonly occur as the primary tumor in the soft tissues near the articular surface, tendons, and articular synovium. Herein, we report a rare case of mediastinal SS in an 18-year-old...

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Main Authors: Yan Liu, Manman Cui, Xiuzhi Zhou, Duchang Zhai, Mingyu Qin, Guohua Fan, Wu Cai
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1288213/full
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author Yan Liu
Manman Cui
Xiuzhi Zhou
Duchang Zhai
Mingyu Qin
Guohua Fan
Wu Cai
author_facet Yan Liu
Manman Cui
Xiuzhi Zhou
Duchang Zhai
Mingyu Qin
Guohua Fan
Wu Cai
author_sort Yan Liu
collection DOAJ
description Synovial sarcomas (SSs) are a rare group of malignant tumors originating from pluripotential mesenchymal cells, which commonly occur as the primary tumor in the soft tissues near the articular surface, tendons, and articular synovium. Herein, we report a rare case of mediastinal SS in an 18-year-old teenager who initially presented with cough as the primary symptom. In this case, plain chest CT and contrast-enhanced CT clearly revealed the lesion presenting as a round-like and uneven density mass in the mediastinum with heterogeneous enhancement, which compressed the trachea and invaded the adjacent vessels. Based on the results of immunohistochemistry and fluorescence in situ hybridization (FISH), combined with the differential diagnosis with other types of tumors in the mediastinum on imaging, we were able to diagnose the tumor as an SS located in the mediastinum. Subsequent resection of the lesion coupled with chemotherapy and immunotherapy led to an improvement in the patient’s symptoms.
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spelling doaj.art-b40fcc06f15d426597a974d859e55db12024-02-16T04:42:53ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2024-02-011410.3389/fonc.2024.12882131288213A Case report: Synovial sarcoma of the mediastinum in an 18-year-old teenagerYan Liu0Manman Cui1Xiuzhi Zhou2Duchang Zhai3Mingyu Qin4Guohua Fan5Wu Cai6Department of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, ChinaDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, ChinaDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, ChinaDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, ChinaSuzhou Medical College, Soochow University, Suzhou, ChinaDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, ChinaDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, ChinaSynovial sarcomas (SSs) are a rare group of malignant tumors originating from pluripotential mesenchymal cells, which commonly occur as the primary tumor in the soft tissues near the articular surface, tendons, and articular synovium. Herein, we report a rare case of mediastinal SS in an 18-year-old teenager who initially presented with cough as the primary symptom. In this case, plain chest CT and contrast-enhanced CT clearly revealed the lesion presenting as a round-like and uneven density mass in the mediastinum with heterogeneous enhancement, which compressed the trachea and invaded the adjacent vessels. Based on the results of immunohistochemistry and fluorescence in situ hybridization (FISH), combined with the differential diagnosis with other types of tumors in the mediastinum on imaging, we were able to diagnose the tumor as an SS located in the mediastinum. Subsequent resection of the lesion coupled with chemotherapy and immunotherapy led to an improvement in the patient’s symptoms.https://www.frontiersin.org/articles/10.3389/fonc.2024.1288213/fullsynovial sarcomamediastinummesenchymal cellchest imagingoncology
spellingShingle Yan Liu
Manman Cui
Xiuzhi Zhou
Duchang Zhai
Mingyu Qin
Guohua Fan
Wu Cai
A Case report: Synovial sarcoma of the mediastinum in an 18-year-old teenager
Frontiers in Oncology
synovial sarcoma
mediastinum
mesenchymal cell
chest imaging
oncology
title A Case report: Synovial sarcoma of the mediastinum in an 18-year-old teenager
title_full A Case report: Synovial sarcoma of the mediastinum in an 18-year-old teenager
title_fullStr A Case report: Synovial sarcoma of the mediastinum in an 18-year-old teenager
title_full_unstemmed A Case report: Synovial sarcoma of the mediastinum in an 18-year-old teenager
title_short A Case report: Synovial sarcoma of the mediastinum in an 18-year-old teenager
title_sort case report synovial sarcoma of the mediastinum in an 18 year old teenager
topic synovial sarcoma
mediastinum
mesenchymal cell
chest imaging
oncology
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1288213/full
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