A case of primary pleural synovial sarcoma with endobronchial recurrence

We report a case of a PPSS that was operated and recurred as an endobronchial metastasis. AbstractPrimary pleural synovial sarcoma (PPSS) is an extremely rare malignancy without a known cause. The diagnosis is made after excluding metastasis from an extra ‐thoracic sarcoma. We report a case of a 67‐year‐old gentleman who presented with an incidental finding of a left lung mass on a routine chest X‐ray. A computed tomography (CT) of the thorax and whole‐body positron emission tomography (PET)‐CT was done confirming a left lung mass with no other extra‐thoracic involvement. A lobectomy was performed with a diagnostic and therapeutic intent. The histopathological examination and immunohistochemistry study revealed a pleural‐based tumour with features suggestive of synovial sarcoma. Subsequently, he underwent post‐operative radiot herapy. However, three months later, he developed an endobronchial recurrence, complicated by post‐obstructive pneumonia resulting in his demise. This case highlights a rare form of malignancy with a rare site of recurrence.
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: Case Report Source Type: research