Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Primary Pulmonary Synovial Sarcoma Showing a Prolonged Survival with Multimodality Therapy
Hirokazu OginoMasaki HanibuchiHiromitsu TakizawaShoji SakiyamaHiroyuki SumitomoSeiji IwamotoHitoshi IkushimaKohei NakajimaShinji NagahiroTaito YamagoYuko ToyodaYoshimi BandoYasuhiko Nishioka
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JOURNALS OPEN ACCESS

2016 Volume 55 Issue 4 Pages 381-387

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Abstract

A 54-year-old man was referred to our hospital due to a mass shadow noted on a chest X-ray. Thoracoscopic lobectomy yielded a diagnosis of primary pulmonary synovial sarcoma according to the histology and SYT-SSX1 gene analyses. Five months after the thoracic surgery, he developed brain metastasis; therefore, we performed resection of the brain metastatic focus followed by radiotherapy. As a local recurrence in the thoracic cavity concurrently emerged, systemic chemotherapy was also administered. These observations indicated that a multidisciplinary approach may be useful against primary pulmonary synovial sarcoma, although there is presently no established therapeutic strategy due to its rarity and highly aggressive nature.

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© 2016 by The Japanese Society of Internal Medicine
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