Key Clinical Message
Primary thoracic sarcomas are very rare. They occur between the ages of
20 and 40. the most common symptom is chest pain. in CT scan its
presents as a very limited heterogeneous mass. Surgery remains the main
treatment.the prognosis remains poor
Introduction
Synovialosarcomas (SS) are high-grade malignancies. They most commonly
affect the soft tissues of the extremities, mainly in a periarticular
distribution (1).
Thoracic involvement is rare and includes parietal, pulmonary and
mediastinal sarcomas (2). Primary thoracic sarcomas and especially lung
sarcomas are very rare compared with metastatic sarcomas (2,3).
Primary pleuropulmonary synovial sarcoma (SS) was first described in
1995 (1). The cases described focused on the histopathological features
of the tumour. The radiological features of primary thoracic SS have not
yet been studied in a formal series. Some authors have attempted to
define the radiological characteristics of primary thoracic SS and to
correlate the findings with clinical and pathological features (1).
Through this observation of a patient with a primary synovialosarcoma of
the lung, we describe the clinical and radiological features of this
rare thoracic tumor.