[Assessment of prognostic factors of thoracic synovial sarcoma].

Abstract:

INTRODUCTION:Synovial sarcoma is an uncommon tumour and thoracic involvement is rare and of varying location. Clinical characteristics are dominated by pain, with a slow progression over years. Pathological and immuno-histochemical characteristics are helpful in the diagnosis but a specific translocation between chromosomes X and 18 is crucial for confirmation. Extensive surgical resection is required for cure, combined with adjuvant radiotherapy in the presence of adverse prognostic factors. CASE REPORT:We report a case of synovial sarcoma of the chest wall, responsible for chronic local pain for several years, presenting as an acute pleuropneumonitis in a 21-year-old patient. In view of the large size of the tumour, associated with a high proliferation index (Ki-67), a surgical resection was performed, together with local adjuvant radiotherapy. CONCLUSION:This case report reviews synovial sarcoma and underlines the difficulties and requirements of both diagnostic strategy and therapeutic management. Among them, an initial systematic review of prognostic factors (tumour size, mitotic activity, proliferation index, SYT-SSX type fusion, histological grade) is crucial to determine the therapeutic options.

journal_name

Rev Mal Respir

authors

Ngahane BH,Baudrand H,Traverse-Glehen A,Freymond N,Guibert B,Pacheco Y,Devouassoux G

doi

10.1016/j.rmr.2009.11.006

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

93-7

issue

1

eissn

0761-8425

issn

1776-2588

pii

S0761-8425(09)00013-8

journal_volume

27

pub_type

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