NADİR BİR TORAKS TÜMÖRÜ: SİNOVYAL SARKOM OLGU SUNUMU VE LİTERATÜRÜN GÖZDEN GEÇİRİLMESİ

Yıl 2008, Cilt: 9 Sayı: 1, 35 - 38, 01.04.2008

Ahmet Tuncay Turgut Ugur Koşar Cüneyt Kurul Salih Topçu İrfan Taştepe

Öz

Toraksın primer sinovyal sarkomu oldukça nadirdir. Akciğer, plevra veya göğüs duvarı tutulumu görülebildiğigibi bu bölgelerin birden fazlası da tutulabilir. Göğüs duvarında kitle saptanması nedeniyle opere edilen veoperasyon materyaline ait doku tanısı monofazik sinovyal sarkom olarak raporlanan, 55 yaşındaki erkek hastanınoperasyon öncesindeki PA akciğer grafisinde sağ hemitoraks alt zonda, diyafragmadan net olaraksınırlandırılamayan kitle görünümü izlendi. Toraks BT incelemesinde sağ akciğer orta lob komşuluğunda,plevraya geniş tabanla oturan, interkostal alanlardan göğüs duvarına uzanan, 97x72 mm boyutlarında düzgünsınırlı kitle saptandı. Tanımlanan görüntüleme bulguları özgül olmamakla birlikte, ayırıcı tanıda toraksın primermalign neoplazmları içerisinde nadir görülen sinovyal sarkom da göz önünde bulundurulmalıdır

Anahtar Kelimeler

Sinovyal sarkom, toraks, radyografi, bilgisayarlı tomografi

A Rare Tumor of the Thorax: Synovial Sarcoma Case Report and Review of the Literature

Öz

Primary synovial sarcoma of the thorax is extremely rare. The involvement of lung, pleura or chest wall may be seen and sometimes more than one of these structures may be effected. The preoperative chest radiography of a 55-year-old male patient operated for a mass lesion detected on chest wall revealed a mass lesion at the inferior zone of the right hemithorax which was not discernible from the diaphragma. Thorax CT examination revealed a sharply marginated mass lesion with dimensions of 97x72 mm, located adjacent to the right middle lobe, having a wide pleural base and extending through the intercostal space to the chest wall. Rare synovial sarcoma of the thorax should be considered in the diferential diagnosis of the primary malignant neoplasms of the thorax, though the imaging findings are non-specific.

Anahtar Kelimeler

Synovial sarcoma, thorax, radiography, computed tomography

Kaynakça

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