Militi, Viviane Di Dio, Fabio Italiano, Ugo Barbaro
Primary synovial mediastinal sarcomas are aggressive tumors with a very rare incidence. The few cases reported in the literature presented poor and incomplete imaging. In this report, we describe the case of a 72-year-old male patient
hospitalized for dyspnoea and chest tightness. For these reasons, he underwent chest X-ray, contrast-enhanced CT, MRI, and PET, which revealed a large mass around the aortic walls. The patient underwent a CT-guided biopsy and the subsequent histopathological evaluation indicated features consistent with a soft tissue sarcoma and positive staining for vimentin. Infiltration of aorta walls was confirmed by an MRI study with cine-MRI sequences. The patient was treated with neoadjuvant chemotherapy, showing partial response. Unfortunately, during the following attempted surgical removal of the mediastinal mass, the patient deceased as a result of an aorta rupture. Our experience could help in diagnostic confidence and differential diagnosis, especially with benign tumors such as neurogenic
Published on: May 31, 2022
Citation: Caudo D, Santalco A, Anfuso C, Zullo Y, Pelle A, et al. 2022. A Case of Primary Synovial Sarcoma of the Posterior Mediastinum with Aortic Wall Infiltration with Complete Imaging Pathway and Histological Diagnosis. J Med Imaging Case Rep 6(1): 16-21.