Abstract

Background

The aim was to present a 35-year-old female patient with diagnosis of monophasic primary pericardial synovial sarcoma (PSS) with cytopathological findings.

Case Presentation

The case with back pain, palpitation and weakness, was diagnosed with pericardial effusion and suspicious mass adjacent to right heart in ultrasonography. Computerized tomography showed mass 12 × 11 × 6.5 cm in size, located in right mid-anterior pericardial area, with heterogeneous internal structure, heterogeneously contrasting right heart and prominent pressure on superior vena cava. Cytopathology of pericardial effusion showed monotonous cells with oval-spindle vesicular nuclei, less amphophilic cytoplasm, evenly distributed chromatin and inconspicuous nucleoli. The pericardial mass was resected incompletely, spindle cell mesenchymal tumor with hypercellular fascicular structure and with infiltrative margins, containing a small amount of loose myxoid stroma, occasionally necrotic areas was observed histopathologically. Immunohistochemical positive reaction was for vimentin, Bcl-2, TLE-1. Accordingly, the case was diagnosed with monophasic PSS.

Conclusions

This case of monophasic primary PSS was an extremely rare malignancy diagnosed with the cytopathological findings.

Details

Title
Monophasic pericardial synovial sarcoma in a turkish female patient: a very rare case with cyto-histopathological findings
Author
Bayrak, Busra Yaprak; Vural, Cigdem; Sezer, Huseyin Fatih; Eliçora, Aykut; Busra, Yaprak
Pages
1-5
Section
Case Report
Publication year
2023
Publication date
2023
Publisher
BioMed Central
e-ISSN
1749-8090
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2815641968
Copyright
© 2023. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.