A Patient with Primary Pericardial Synovial Sarcoma who Presented with Cardiac Tamponade: A Case Report and Review of the Literature

Michishige Ohzeki; Shu-ichi Fujita; Hirota Miyazaki; Hideaki Morita; Sachiko Kanki; Hideki Ozawa; Takahiro Katsumata; Yoshitaka Kurisu; Motomu Tsuji; Jun Tanigawa; Koichi Sohmiya; Masaaki Hoshiga; Nobukazu Ishizaka

doi:10.2169/internalmedicine.53.1749

CASE REPORTS

A Patient with Primary Pericardial Synovial Sarcoma who Presented with Cardiac Tamponade: A Case Report and Review of the Literature

Michishige Ohzeki, Shu-ichi Fujita, Hirota Miyazaki, Hideaki Morita, Sachiko Kanki, Hideki Ozawa, Takahiro Katsumata, Yoshitaka Kurisu, Motomu Tsuji, Jun Tanigawa, Koichi Sohmiya, Masaaki Hoshiga, Nobukazu Ishizaka

著者情報

キーワード: synovial sarcoma, pericardial effusion, cardiac tamponade, fluorescence in situ hybridization, gene rearrangement

ジャーナルオープンアクセス

2014 年 53 巻 6 号 p. 595-601

DOI https://doi.org/10.2169/internalmedicine.53.1749

詳細

抄録

A 36-year-old man presented with near-syncope. He was found to have massive pericardial effusion with a giant pericardial tumorous lesion. The pericardial effusion exhibited a bloody nature; however, neither malignant cells nor infectious organisms were detected. ¹⁸F-fluorodeoxyglucose-positron emission tomography (FDG-PET) showed an increased uptake of FDG in the pericardial tumor only. Although the tumor was not resectable, thoracotomy and tissue sampling were performed. A histological analysis showed CD99 positivity and SYT gene rearrangement, leading to a diagnosis of synovial sarcoma arising from the left lateral pericardial surface. The patient is now receiving chemotherapy.

責任著者(Corresponding author)

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