Tuberculosis and Respiratory Diseases

  • 제60권6호
  • /
  • Pages.673-677
  • /
  • 2006
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

PET/CT로 폐에서 기원한 것을 확인한 원발성 단상성 섬유성 활막육종 1예

A Case of Monophasic Fibrous Synovial Sarcoma Confirmed Primary Pulmonary Origin by 18F-FDG PET/CT

  • 이은아 (성균관대학교 의과대학 내과학교실, 강북삼성병원 호흡기내과) ;
  • 이도영 (성균관대학교 의과대학 내과학교실, 강북삼성병원 호흡기내과) ;
  • 곽현주 (강북삼성병원 영상의학과) ;
  • 김민경 (강북삼성병원 병리과) ;
  • 오태윤 (강북삼성병원 흉부외과) ;
  • 임시영 (성균관대학교 의과대학 내과학교실, 강북삼성병원 호흡기내과) ;
  • 임성용 (성균관대학교 의과대학 내과학교실, 강북삼성병원 호흡기내과)
  • Lee, Eun A (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, Do Young (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kwag, Hyon Joo (Department of Radiology, Kangbuk Samsung Hospital) ;
  • Kim, Min Kyung (Department of Pathology, Kangbuk Samsung Hospital) ;
  • Oh, Tae Yun (Department of Thoracic Surgery, Kangbuk Samsung Hospital) ;
  • Lim, Si Young (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lim, Seong Yong (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 투고 : 2006.04.18
  • 심사 : 2006.06.07
  • 발행 : 2006.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

저자들은 60세 여자환자에서 18F-FDG PET/CT를 사용하여 폐에서 원발한 것을 확인하고 조직학적 및 면역 조직 화학 염색상 단상성 섬유성 형태를 가진 원발성 폐활막 육종 1예를 경험하였기에 이를 문헌 고찰과 함께 보호하는 바이다.

Most malignant mesenchymal tumors of the lung are metastases of a primary tumor from elsewhere in the body. A primary pulmonary synovial sarcoma is a very rare neoplasm that accounts for approximately 10% of soft tissue sarcomas and makes up only 0.5% of all primary lung malignancies. We report a case of a primary pulmonary synovial sarcoma in a 60-year old woman. In this case, a lung metastasis was excluded using 18F-FDG PET /CT imaging.

키워드

참고문헌

  1. Hosono T, Hironaka M, Kobayashi A, Yamasawa H, Bando M, Ohno S, et al. Primary pulmonary synovial sarcoma confirmed by molecular detection of SYTSSX1 fusion gene transcripts: a case report and review of the literature. Jpn J Clin Oncol 2005;35:274-9 https://doi.org/10.1093/jjco/hyi073
  2. Hisaoka M, Hashimoto H, Iwamasa T, Ishikawa K, Aoki T. Primary synovial sarcoma of the lung: report of two cases confirmed by molecular detection of SYT-SSX fusion gene transcripts. Histopathology 1999;34:205-10 https://doi.org/10.1046/j.1365-2559.1999.00630.x
  3. Niwa H, Masuda S, Kobayashi C, Oda Y. Pulmonary synovial sarcoma with polypoid endobronchial growth: a case report, immunohistochemical and cytogenetic study. Pathol Int 2004;54:611-5 https://doi.org/10.1111/j.1440-1827.2004.01670.x
  4. Okamoto S, Hisaoka M, Daa T, Hatakeyama K, Iwamasa T, Hashimoto H. Primary pulmonary synovial sarcoma: a clinicopathologic, immunohistochemical, and molecular study of 11 cases. Hum Pathol 2004;35:850-6 https://doi.org/10.1016/j.humpath.2004.02.011
  5. Chan JA, McMenamin ME, Fletcher CD. Synovial sarcoma in older patients: clinicopathological analysis of 32 cases with emphasis on unusual histological features. Histopathology 2003;43:72-83 https://doi.org/10.1046/j.1365-2559.2003.01643.x
  6. Zeren H, Moran CA, Suster S, Fishback NF, Koss MN. Primary pulmonary sarcomas with features of monophasic synovial sarcoma: a clinicopathological, immunohisto-chemical, and ultrastructural study of 25 cases. Hum Pathol 1995;26:474-80 https://doi.org/10.1016/0046-8177(95)90242-2
  7. Duran-Mendicuti A, Costello P, Vargas SO. Primary synovial sarcoma of the chest: radiographic and clinicopathologic correlation. J Thorac Imaging 2003;18:87-93 https://doi.org/10.1097/00005382-200304000-00006
  8. Yoon GS, Park SY, Kang GH, Kim OJ. Primary pulmonary sarcoma with morphologic features of biphasic synovial sarcoma: a case report. J Korean Med Sci 1998;13:71-6 https://doi.org/10.3346/jkms.1998.13.1.71
  9. Song SH, Lee KH, Oh JH, Moon HS, Song JS, Park SH, et al. A case of primary pulmonary sarcoma with morphologic features of biphasic synovial sarcoma. Tuberc Respir Dis 1998;45:1284-89 https://doi.org/10.4046/trd.1998.45.6.1284
  10. Dennison S, Weppler E, Giacoppe G. Primary pulmonary synovial sarcoma: a case report and review of current diagnostic and therapeutic standards. Oncologist 2004;9:339-42 https://doi.org/10.1634/theoncologist.9-3-339
  11. Kawai A, Woodruff J, Healey JH, Brennan MF, Antonescu CR, Ladanyi M. SYT-SSX gene fusion as a determinant of morphology and prognosis in synovial sarcoma. N Engl J Med 1998;338:153-60 https://doi.org/10.1056/NEJM199801153380303
  12. Spillane AJ, A'Hern R, Judson IR, Fisher C, Thomas JM. Synovial sarcoma: a clinicopathologic, staging, and prognostic assessment. J Clin Oncol 2000;18:3794-803 https://doi.org/10.1200/JCO.2000.18.22.3794