흉막에 발생한 원발성 윤활막육종 1예
A case of primary synovial sarcoma of the pleura
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초록
저자들은 흉통을 주소로 내원한 35세 남자 환자에서 국내에서 처음으로 흉막에 생긴 원발성 윤활막육종을 종양제거술로 진단하고 방사선요법과 항암화학요법으로 치료하였기에 1예를 보고하는 바이다.
Abstract
Synovial sarcoma is a malignant soft tissue tumor originated from primitive mesenchymal cell and displays epithelial differentiation. Synovial sarcoma most commonly occurs in the peri-articular regions of the extremities in adolescents and young adults. But primary synovial sarcoma of the pleura is extremely rare. The present report describes a case of primary synovial sarcoma of the pleura in a 35-year-old male who showed unilateral spontaneous hemothorax as initial manifestation. The tumor mass was removed by open thoracotomy. The tumor was composed of oval to spindle cells with abundant vascular structures. Some of the spindle-shaped tumor cells express cytokeratin. A diagnosis of monophasic fibrous synovial sarcoma was made by histologic and immunologic features. The patient received chemotherapy postoperatively and showed no evidence of recurrence or tumor at other sites 1 year after surgery.
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