Mesh : Actins / metabolism Angiolipoma / diagnosis Antigens, CD34 / metabolism Biomarkers, Tumor / metabolism Diagnosis, Differential Disease-Free Survival Heart Neoplasms / metabolism pathology surgery Humans Lipoma / diagnosis Male Middle Aged Pericytes / metabolism pathology Radiotherapy, Adjuvant Sarcoma, Synovial / metabolism pathology surgery Thigh

来  源:   DOI:10.1111/j.1440-1827.2010.02631.x

Abstract:
Primary cardiac synovial sarcoma is a rare disease. A 51-year-old man visited our hospital with the chief complaint of palpitations and shortness of breath while exercising. Copious bloody pericardial effusion and a multicystic intrapericardial tumor were detected. A primary cardiac malignant tumor was suspected, an open-chest tumor resection was performed with the objectives of diagnosis and treatment. Histologically, the tumor cells were uniformly spindle-shaped with an ovoid or oval nucleus, they had proliferated in fascicular fashion. In addition myxoid degeneration, a hemangiopericytomatous vascular pattern and pseudorosette formation were seen in some areas of the tumor. Based on the histopathological and immunohistochemical findings and reverse transcription polymerase chain reaction detection of SS18-SSX1 fusion transcripts, a monophasic fibrous type synovial sarcoma was diagnosed. Postoperative radiation therapy was administered and there had been no recurrence 9 months after the surgery.
摘要:
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