Synovial sarcoma arising from the chest wall: MR imaging findings

Radiat Med. 1997 Nov-Dec;15(6):411-4.

Abstract

We report a case of synovial sarcoma of the chest wall in a 41-year-old man. Chest CT revealed a huge tumor of the left chest wall with heterogeneous enhancement. On MR imaging, the tumor showed the "bowl-of-fruit" mixed-signal appearance with fluid-fluid levels similar to those of synovial sarcoma of the extremities. Synovial sarcoma arising from the chest wall is extremely rare; only four cases have been reported in the English literature. As synovial sarcoma is considered a carcinosarcoma-like tumor with true epithelial differentiation, it is able to originate from various regions. Even if the tumor is found in a region distant from the synovial membrane, the differential diagnosis of a tumor which demonstrates such findings on MR imaging should include synovial sarcoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Sarcoma, Synovial / diagnosis*
  • Sarcoma, Synovial / diagnostic imaging
  • Sarcoma, Synovial / pathology
  • Soft Tissue Neoplasms / diagnosis
  • Soft Tissue Neoplasms / diagnostic imaging
  • Soft Tissue Neoplasms / pathology
  • Thoracic Neoplasms / diagnosis*
  • Thoracic Neoplasms / diagnostic imaging
  • Thoracic Neoplasms / pathology
  • Tomography, X-Ray Computed