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Abstract
We report a rare case of mediastinal synovial sarcoma. The tumor was a 40-mm mass in the posterior mediastinum, infiltrating the inferior lobar vein and left atrium and located close to the esophagus. This patient was scheduled to undergo tumor extirpation combined with resection of the right lower lung lobe and left atrium. Considering the reconstructive route after esophagectomy, the chest was opened through an anterolateral incision. No invasion into the esophagus was present, and complete removal was achieved by combined resection of the right lower lung lobe and left atrium. The resected specimen contained the SS18-SSX1 fusion gene, leading to a diagnosis of synovial sarcoma.
Keywords
Glossary of abbreviations:
CPB (cardiopulmonary bypass)Article info
Publication history
Accepted:
March 6,
2023
Received:
December 23,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
Disclosure Statement: The authors report no conflicts of interest.
Funding Statement: None.
Institutional Review Board (IRB) Approval: The Institutional Review Board (IRB) or equivalent ethics committee of Kyushu University approved the study protocol and publication of data.
Informed Consent Statement: The patient provided informed written consent for the publication of the study data.
Central Message
This case was a mediastinal tumor with invasion into the left atrium and right inferior pulmonary vein, treated with cardiopulmonary bypass and resection of the right lower lung lobe and left atrium.
Central Picture legend: A synovial sarcoma in the left atrium compressed the right inferior pulmonary vein.
Identification
Copyright
© 2023 The Authors. Published by Elsevier Inc. on behalf of The American Association for Thoracic Surgery
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