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Cardiac Synovial Sarcoma, Case Report

Year 2009, Volume: 1 Issue: 1, 57 - 59, 01.04.2009

Abstract

Cardiac synovial sarcoma is a rarely-seen tumor. A 37-years old male patient was operated in an external health center due to a right atrioventricular mass and was diagnosed as synovial sarcoma. Five months later, radiological examinations revealed a nodular mass lesion, 222x160x129 mm in size; in the left hemi-thorax that switches thoracic aorta and oesophagus on thorax CT. Plentiful nodules harmonious with metastasis the biggest of which is 18mm in diameter have been seen in the right lung. In his MR, a lobule-contoured,45x35 mm sized tumor that shows a protrusion on the level of tricuspic valve towards the right venticular lumen has been observed. The mass in his left hemithorax was removed by means of thoracotomy. In the microscopic examination of the operation material, at certain areas a cellular tumor made up of spindle cells in storiform pattern and whose borders were not clear and that usually showed an irregular structure has been spotted. At times, areas low in cellularity that showed myxoid change was observed. Cardiac synoval sarcoma due to its rarity in this area and its difficulty in diagnosis has been found worth presenting.

References

  • Neragi-Miandoab S, Kim J, Vlahakes GJ. Malig- nant tumours of the heart: a review of tumour type, diagnosis and therapy. Clin Oncol (R Coll Radiol). 2007;19(10):748-756.
  • Mirzoyan M, Muslimani A, Setrakian S, Swedeh M, Daw HA. Primary pleuropulmonary synovial sarcoma. Clin Lung Cancer. 2008;5:257-261
  • Kim CH, Dancer JY, Coffey D, Zhai QJ, Reardon M, Ayala AG, Ro JY. Clinicopathologic study of 24 patients with primary cardiac sarcomas: a 10-year single insti- tution experience. Hum Pathol. 2008;39(6):933-938.
  • Drozenová J, Povýsil C, Tvrdík D, Babjuk M, Hanus T. [Primary synovial sarcoma of the kidney]. Cesk Patol. 2008;44(1):20-22.
  • Qubbany AW, Kinsara AJ. Metastatic synovial sarcoma to the left atrium. A management dilemma. Saudi Med J. 2007;28(12):1904-1906.
  • McAllister HA, Fenoglio JJ, Tumors of the cardio- vascular system. In: Atlas of tumor pathology, second series. Washington: Armed Forces Institute of Pathol- ogy; 1978
  • White RW, Rushbrook J, Sivananthan MU, Mc- Goldrick JP. Primary cardiac synovial sarcoma with im- minent tricuspid valve obstruction. Ann Thorac Surg. 2009;87(1):322.
  • de Zwaan C, Bekkers SC, van Garsse LA, Jansen RL, van Suylen RJ. Primary monophasic mediastinal, cardiac and pericardial synovial sarcoma: a young man in distress. Neth Heart J. 2007;15(6):226-228.
  • Hing SN, Marshall L, Al-Saadi R, Hargrave D. Primary pericardial synovialsarcoma confirmed by mo- lecular genetic studies: a case report. J Pediatr Hematol Oncol. 2007;29(7):492-495.
  • Mukhopadhyay S, Aubry MC. Recurrent primary synovial sarcoma of the chest wall. J Thorac Oncol. 2007;2:660-661.
  • Vander Salm TJ, Unusual primary tumors of the heart. Semin Thorac Cardiovasc Surg 2000;12:89-100.
  • Laissy JP, Fernandez P, Mousseaux E, Dacher JN, Crochet D. Cardiac tumors. J Radiol 2004;85:363- 369.

Kardiak Sinovyal Sarkom, Olgu Sunumu

Year 2009, Volume: 1 Issue: 1, 57 - 59, 01.04.2009

Abstract

Kardiak sinovyal sarkom nadir görülen bir tümördür. Otuz yedi taşında erkek hasta sağ atrioventriküler kitle nedeniyle dış merkezde opere olmuş ve sinovyal sarkom tanısı almıştır. Beş ay sonraki radyolojik incelemelerinde; toraks BT'de sol hemitoraksta 222x160x129 mm ölçülerinde torasik aortayı ve özofagusu deplese eden kitlesel lezyon izlenmiştir. Sağ akciğerde en büyüğü 18 mm çaplı çok sayıda metastazla uyumlu noduller görülmüştür. MR incelemesinde trikuspit kapak seviyesinde sağ ventrikül lümenine doğru protrüzyon gösteren 45x35 mm ölçülerinde lobule kontürlü tümör izlenmiştir. Sol hemitoraksındaki kitle torakotomi ile çıkartılmıştır. Operasyon materyalilinin mikroskopik incelemesinde yer yer storiform paternde ve genellikle düzensiz yapılanma gösteren, hücre sınırları belirsiz iğsi hücrelerden oluşan selüler tümör görülmüştür. Arada miksoid değişiklik gösteren selülaritesi düşük alanlar izlenmiştir. Kardiak sinovyal sarkom bu bölgede çok nadir görülmesi ve tanı güçlüğü oluşturması nedeniyle olgumuz sunulmaya değer bulunmuştur.

References

  • Neragi-Miandoab S, Kim J, Vlahakes GJ. Malig- nant tumours of the heart: a review of tumour type, diagnosis and therapy. Clin Oncol (R Coll Radiol). 2007;19(10):748-756.
  • Mirzoyan M, Muslimani A, Setrakian S, Swedeh M, Daw HA. Primary pleuropulmonary synovial sarcoma. Clin Lung Cancer. 2008;5:257-261
  • Kim CH, Dancer JY, Coffey D, Zhai QJ, Reardon M, Ayala AG, Ro JY. Clinicopathologic study of 24 patients with primary cardiac sarcomas: a 10-year single insti- tution experience. Hum Pathol. 2008;39(6):933-938.
  • Drozenová J, Povýsil C, Tvrdík D, Babjuk M, Hanus T. [Primary synovial sarcoma of the kidney]. Cesk Patol. 2008;44(1):20-22.
  • Qubbany AW, Kinsara AJ. Metastatic synovial sarcoma to the left atrium. A management dilemma. Saudi Med J. 2007;28(12):1904-1906.
  • McAllister HA, Fenoglio JJ, Tumors of the cardio- vascular system. In: Atlas of tumor pathology, second series. Washington: Armed Forces Institute of Pathol- ogy; 1978
  • White RW, Rushbrook J, Sivananthan MU, Mc- Goldrick JP. Primary cardiac synovial sarcoma with im- minent tricuspid valve obstruction. Ann Thorac Surg. 2009;87(1):322.
  • de Zwaan C, Bekkers SC, van Garsse LA, Jansen RL, van Suylen RJ. Primary monophasic mediastinal, cardiac and pericardial synovial sarcoma: a young man in distress. Neth Heart J. 2007;15(6):226-228.
  • Hing SN, Marshall L, Al-Saadi R, Hargrave D. Primary pericardial synovialsarcoma confirmed by mo- lecular genetic studies: a case report. J Pediatr Hematol Oncol. 2007;29(7):492-495.
  • Mukhopadhyay S, Aubry MC. Recurrent primary synovial sarcoma of the chest wall. J Thorac Oncol. 2007;2:660-661.
  • Vander Salm TJ, Unusual primary tumors of the heart. Semin Thorac Cardiovasc Surg 2000;12:89-100.
  • Laissy JP, Fernandez P, Mousseaux E, Dacher JN, Crochet D. Cardiac tumors. J Radiol 2004;85:363- 369.
There are 12 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Ahmet Midi This is me

Rahmi Çubuk This is me

Sıla Altınel This is me

Alpay Örki This is me

Yeşim Önder This is me

Yüksel Yurdugül This is me

Bülent Arman This is me

Gülçin Kıyan This is me

Orhan Türken This is me

Publication Date April 1, 2009
Published in Issue Year 2009 Volume: 1 Issue: 1

Cite

Vancouver Midi A, Çubuk R, Altınel S, Örki A, Önder Y, Yurdugül Y, Arman B, Kıyan G, Türken O. Kardiak Sinovyal Sarkom, Olgu Sunumu. Maltepe tıp derg. 2009;1(1):57-9.