Abstract
A 32 -year- old male patient who underwent amputation one year ago due to the synovial sarcoma that is on the distal phalanx of the toe of the right foot and after that received 6 cycles of chemotherapy was admitted to our clinic when he had hemoptysis and an opacity seen on right upper zone of his chest x ray at his last follow up. 8-10 cm-sized mass in the right upper lobe was diagnosed radiologically. Bleeding was seen from the mouth of right upper lobe in the patient's preoperative rigid bronchoscopy. In operation the upper lobe was filled with fluctuated, hemorrhagic, necrotic tumor tissue and the other lobes were normal. Right upper lobectomy was performed. It was reported that synovial sarcoma metastasis in pathologically. A 3 cm nodule was diagnosed in the left lower of the patient and videothoracoscopic wedge resection was performed. Pathologically, that was also synovial sarcoma metastasis. The patient underwent 4 cycles of chemotherapy more. Four months later, he admitted with recurrence on the left side again, but the patient refused surgery.Two months later he was admitted as an emergency with severe shortness of breath. Left pneumonectomy and partial 8.th rib resection was performed due to the giant parenchymal mass that was fragile, bleeding, pushing mediastinum, invade chest wall and occupying the left hemithorax completely. Extensive chest wall resection was avoided since it increases the mortality and morbidity of the operation. The tumoral masses that destruct the lung completely were reported as synovial sarcoma pathologically. Shortness of breath improved in the postoperative period and he was discharged at eleventh day. The patient died 3 months after discharge day.
- © 2011 ERS