Case Report PRIMARY INTRATHORACIC PLEUROPULMONARY SYNOVIAL SARCOMA WITH RIB METASTASIS: A RARE ENTITY

Abstract

Primary synovial sarcoma is common in limbs, in para particular location. Lungs are commonly involved by metastatic sarcoma due to hematogenous spread whereas primary pulmonary synovial sarcoma in the lungs is an infrequent entity but highly aggressive. Symptoms and imaging findings are non-specific to make definite diagnosis, therefore it is easily confused with other pathologies. The key to correct diagnosis is histopathology.

Primary pleuropulmonary synovial sarcoma is extremely rare. It is important to excluded other sites of primary synovial sarcoma. We report 50 years old female who presented with cough and dyspnea. CT scan showed enhancing circumscribed mass in left hemithorax which proved to be synovial sarcoma on core biopsy.