Synovial Sarcoma of the Mediastinum: A Case Report

縱隔腔的滑膜肉瘤：病例報告

孫嘉宏(Chia-Hung Sun) ； 賴信良(Shinn-Liang Lai) ； 彭瑞鵬(Reury-Perng Perng)

《胸腔醫學》 23卷2期 (2008/04) Pp. 132-137

https://doi.org/10.29806/TM.200804.0009

摘要

縱隔腔的滑膜肉瘤是一個相當罕見的腫瘤。此腫瘤雖然好發於肢體的軟組織，但是也曾在其他部位被描述過。本篇文章中，我們報告一位發生於縱隔腔的滑膜肉瘤的病例。這是一個24歲的男性病患，因為乾咳和胸痛而就診。影像學檢查發現一個原發於右下後縱隔腔的巨大腫瘤病灶，同時侵犯右下肺和破壞右側肋骨。經過電腦斷層導引的切片檢查，確定診斷為滑膜肉瘤。他接受手術及之後的放射治療，在手術後一個月其病情穩定。

關鍵字

滑膜肉瘤 ； 縱隔腔 ； 手術 ； 放射治療 ； 化學治療

並列摘要

Synovial sarcoma is an extremely rare tumor of the mediastinum. Although it occurs predominantly in the soft tissues of the extremities, this neoplasm has been described in a wide variety of other locations. We report a case of synovial sarcoma occurring in the mediastinum. This 24-year-old male patient presented with dry cough and chest pain. Imaging studies revealed a huge mass lesion originating from the right lower mediastinum with right lower lung invasion and right rib destruction. Computed tomography-guided biopsy confirmed the diagnosis of synovial sarcoma. He underwent surgery and post-operative irradiation therapy. His condition was stable 1 month after the operation.

並列關鍵字

synovial sarcoma ； mediastinum ； surgery ； irradiation therapy ； chemotherapy