Advances in Surgical Sciences

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Synovialosarcoma of the Chest Wall: A Case Report of a Huge Rare Tumor

Received: Nov. 24, 2022    Accepted: Dec. 09, 2022    Published: Jun. 06, 2023
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Abstract

Introduction: Synovialosarcoma is a malignant tumor originating in soft tissues, its localization in the chest wall remains exceptional and has a reserved prognosis. The management depends on an early diagnosis and the contribution of the biopsy is often necessary to codify a therapeutic approach in multidisciplinary concertation associating a surgery of resection with a large margin and a radio-chemotherapy often successful in the literature. The majority of articles have specified an average survival of 45% at 5 years for thoracic sarcomas without any precise data for the thoracic parietal form. Our study is a description of a case of synovialosarcoma of the thoracic wall taken in charge in the unit of thoracic surgery of our hospital center and it have been described all the clinical data, paraclinical, therapeutic and evolutionary with a review of the literature. One case included in the study of a men with 45 years old, with no surgical or medical history, who presented a huge mass of the axillary region operated 5 months ago with a surgical removal. The evolution was marked by a recurrence of a huge mass painful without inflammatory signs in a context of conservation of the general health, and whose CT imaging showed a non-invasive soft tissue mass in endothoracic and without costal lysis. Without contraindication to general anaesthesia, the patient underwent a surgery of total removal of the mass without conservation of the invaded muscles, and directed wound healing was done with Vaseline greasy bandages with programming of a skin graft after 3 weeks and programming of radiotherapy after total healing of the skin. Chest wall is a rare localisation of Synovialosarcoma and surgery represents the main treatment associated to radiotherapy.

DOI 10.11648/j.ass.20231101.13
Published in Advances in Surgical Sciences ( Volume 11, Issue 1, June 2023 )
Page(s) 14-16
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Chest Wall, Soft Tissue, Rare Tumor

References
[1] Moukram, N., et al. "Atteintes thoraciques du synovialosarcome: à propos de 7 cas." Revue des Maladies Respiratoires 33 (2016): A114.
[2] Ngahane, BH Mbatchou, et al. "Évaluation des facteurs pronostiques du synovialosarcome thoracique." Revue des maladies respiratoires 27.1 (2010): 93-97.
[3] Ouadnouni, Yassine, et al. "A rare tumor of the chest wall: the synovial sarcoma." The Pan African Medical Journal 9 (2011): 2-2.
[4] Fekih, L., et al. "Rare primary chest wall sarcoma: the synovialosarcoma." Revue des Maladies Respiratoires 28.5 (2011): 681-685.
[5] Penel, N., et al. "Primary soft tissue sarcoma of the chest in adults: a retrospective study of 40 cases." Annales de Chirurgie. Vol. 128. No. 4. 2003.
[6] Gordon, Mark S., et al. "Soft tissue sarcomas of the chest wall: Results of surgical resection." The Journal of Thoracic and Cardiovascular Surgery 101.5 (1991): 843-854.
[7] D'Addario G, Früh M, Reck M, Baumann P, Klepetko W, Felip E., ESMO Guidelines Working Group. Metastatic non-small-cell lung cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2010 May; 21 Suppl 5: v116-9.
[8] David EA, Marshall MB. Review of chest wall tumors: a Semin Plast Surg. 2011 Feb; 25 (1): 16-24.
[9] Hsu PK, Hsu HS, Lee HC, Hsieh CC, Wu YC, Wang LS, Huang BS, Hsu WH, Huang MH. Management of primary chest wall tumors: 14 years' clinical experience. J Chin Med Assoc. 2006 Aug; 69 (8): 377-82.
[10] Burt M. Primary malignant tumors of the chest wall. The Memorial Sloan-Kettering Cancer Center experience. Chest Surg Clin N Am. 1994 Feb; 4 (1): 137-54.
[11] Tateishi U, Gladish GW, Kusumoto M, Hasegawa T, Yokoyama R, Tsuchiya R, Moriyama N. Chest wall tumors: radiologic findings and pathologic correlation: part 2. Malignant tumors. Radiographics. 2003 Nov-Dec; 23 (6): 1491-508.
[12] Bueno J, Lichtenberger JP, Rauch G, Carter BW. MR Imaging of Primary Chest Wall Neoplasms. Top Magn Reson Imaging. 2018 Apr; 27 (2): 83-93.
[13] Tukiainen E. Chest wall reconstruction after oncological resections. Scand J Surg. 2013; 102 (1): 9-13.
[14] Arnold PG, Pairolero PC. Chest-wall reconstruction: an account of 500 consecutive patients. Plast Reconstr Surg. 1996 Oct; 98 (5): 804-10.
[15] Bakri K, Mardini S, Evans KK, Carlsen BT, Arnold PG. Workhorse flaps in chest wall reconstruction: the pectoralis major, latissimus dorsi, and rectus abdominis flaps. Semin Plast Surg. 2011 Feb; 25 (1): 43-54.
[16] Carter BW, Benveniste MF, Betancourt SL, de Groot PM, Lichtenberger JP, Amini B, Abbott GF. Imaging Evaluation of Malignant Chest Wall Neoplasms. Radiographics. 2016 Sep-Oct; 36 (5): 1285-306.
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  • APA Style

    Maidi Elmehdi, Makloul Mouhsine, Ammour Fatimzahra, Ouchen Fahd, Hachmi Mohamed, et al. (2023). Synovialosarcoma of the Chest Wall: A Case Report of a Huge Rare Tumor. Advances in Surgical Sciences, 11(1), 14-16. https://doi.org/10.11648/j.ass.20231101.13

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    ACS Style

    Maidi Elmehdi; Makloul Mouhsine; Ammour Fatimzahra; Ouchen Fahd; Hachmi Mohamed, et al. Synovialosarcoma of the Chest Wall: A Case Report of a Huge Rare Tumor. Adv. Surg. Sci. 2023, 11(1), 14-16. doi: 10.11648/j.ass.20231101.13

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    AMA Style

    Maidi Elmehdi, Makloul Mouhsine, Ammour Fatimzahra, Ouchen Fahd, Hachmi Mohamed, et al. Synovialosarcoma of the Chest Wall: A Case Report of a Huge Rare Tumor. Adv Surg Sci. 2023;11(1):14-16. doi: 10.11648/j.ass.20231101.13

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  • @article{10.11648/j.ass.20231101.13,
      author = {Maidi Elmehdi and Makloul Mouhsine and Ammour Fatimzahra and Ouchen Fahd and Hachmi Mohamed and Gourti Mouad},
      title = {Synovialosarcoma of the Chest Wall: A Case Report of a Huge Rare Tumor},
      journal = {Advances in Surgical Sciences},
      volume = {11},
      number = {1},
      pages = {14-16},
      doi = {10.11648/j.ass.20231101.13},
      url = {https://doi.org/10.11648/j.ass.20231101.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ass.20231101.13},
      abstract = {Introduction: Synovialosarcoma is a malignant tumor originating in soft tissues, its localization in the chest wall remains exceptional and has a reserved prognosis. The management depends on an early diagnosis and the contribution of the biopsy is often necessary to codify a therapeutic approach in multidisciplinary concertation associating a surgery of resection with a large margin and a radio-chemotherapy often successful in the literature. The majority of articles have specified an average survival of 45% at 5 years for thoracic sarcomas without any precise data for the thoracic parietal form. Our study is a description of a case of synovialosarcoma of the thoracic wall taken in charge in the unit of thoracic surgery of our hospital center and it have been described all the clinical data, paraclinical, therapeutic and evolutionary with a review of the literature. One case included in the study of a men with 45 years old, with no surgical or medical history, who presented a huge mass of the axillary region operated 5 months ago with a surgical removal. The evolution was marked by a recurrence of a huge mass painful without inflammatory signs in a context of conservation of the general health, and whose CT imaging showed a non-invasive soft tissue mass in endothoracic and without costal lysis. Without contraindication to general anaesthesia, the patient underwent a surgery of total removal of the mass without conservation of the invaded muscles, and directed wound healing was done with Vaseline greasy bandages with programming of a skin graft after 3 weeks and programming of radiotherapy after total healing of the skin. Chest wall is a rare localisation of Synovialosarcoma and surgery represents the main treatment associated to radiotherapy.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Synovialosarcoma of the Chest Wall: A Case Report of a Huge Rare Tumor
    AU  - Maidi Elmehdi
    AU  - Makloul Mouhsine
    AU  - Ammour Fatimzahra
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    AU  - Hachmi Mohamed
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    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
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    EP  - 16
    PB  - Science Publishing Group
    SN  - 2376-6182
    UR  - https://doi.org/10.11648/j.ass.20231101.13
    AB  - Introduction: Synovialosarcoma is a malignant tumor originating in soft tissues, its localization in the chest wall remains exceptional and has a reserved prognosis. The management depends on an early diagnosis and the contribution of the biopsy is often necessary to codify a therapeutic approach in multidisciplinary concertation associating a surgery of resection with a large margin and a radio-chemotherapy often successful in the literature. The majority of articles have specified an average survival of 45% at 5 years for thoracic sarcomas without any precise data for the thoracic parietal form. Our study is a description of a case of synovialosarcoma of the thoracic wall taken in charge in the unit of thoracic surgery of our hospital center and it have been described all the clinical data, paraclinical, therapeutic and evolutionary with a review of the literature. One case included in the study of a men with 45 years old, with no surgical or medical history, who presented a huge mass of the axillary region operated 5 months ago with a surgical removal. The evolution was marked by a recurrence of a huge mass painful without inflammatory signs in a context of conservation of the general health, and whose CT imaging showed a non-invasive soft tissue mass in endothoracic and without costal lysis. Without contraindication to general anaesthesia, the patient underwent a surgery of total removal of the mass without conservation of the invaded muscles, and directed wound healing was done with Vaseline greasy bandages with programming of a skin graft after 3 weeks and programming of radiotherapy after total healing of the skin. Chest wall is a rare localisation of Synovialosarcoma and surgery represents the main treatment associated to radiotherapy.
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Author Information
  • Surgery Department, Medical University of Agadir, Agadir, Morroco; Chest Surgery Department, Hospital Center Hassan 2, Agadir, Morroco

  • Surgery Department, Medical University of Agadir, Agadir, Morroco; Chest Surgery Department, Hospital Center Hassan 2, Agadir, Morroco

  • Surgery Department, Medical University of Agadir, Agadir, Morroco; Chest Surgery Department, Hospital Center Hassan 2, Agadir, Morroco

  • Surgery Department, Medical University of Agadir, Agadir, Morroco; Chest Surgery Department, Hospital Center Hassan 2, Agadir, Morroco

  • Surgery Department, Medical University of Agadir, Agadir, Morroco; Chest Surgery Department, Hospital Center Hassan 2, Agadir, Morroco

  • Surgery Department, Medical University of Agadir, Agadir, Morroco; Chest Surgery Department, Hospital Center Hassan 2, Agadir, Morroco

  • Section