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Obstet Gynecol. 2008 Feb;111(2 Pt 2):555-8. doi: 10.1097/01.AOG.0000286769.70432.de.

Pulmonary synovial sarcoma presenting as a pneumothorax during pregnancy.

Author information

  • 1Department of Obstetrics and Gynecology, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA. esakajb@yahoo.com

Abstract

BACKGROUND:

Synovial sarcoma is a clinically rare, but morphologically well-defined neoplasm, which accounts for approximately 10% of all malignant soft-tissue tumors. The diagnosis can be established with clinical and imaging evaluations together with immunohistochemical, electron microscopy, and molecular genetic studies.

CASE:

We describe a case of primary pulmonary synovial sarcoma presenting as a pneumothorax in a young woman at 34 weeks of gestation. Her persistent symptomatology ultimately led to a video-assisted thoracoscopy and thorascopic decortication. The diagnosis was established by pathology and immunohistochemistry of the cells, which were consistent with primary pulmonary synovial sarcoma.

CONCLUSION:

Malignancies, even those as uncommon as primary synovial sarcoma, should be considered in the differential diagnosis of pneumothorax during pregnancy.

PMID:
18239021
[PubMed - indexed for MEDLINE]
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