PMID- 16702463 OWN - NLM STAT- MEDLINE DCOM- 20060905 LR - 20151119 IS - 1527-1323 (Electronic) IS - 0271-5333 (Linking) VI - 26 IP - 3 DP - 2006 May-Jun TI - From the archives of the AFIP: Pleuropulmonary synovial sarcoma. PG - 923-40 AB - Pleuropulmonary synovial sarcoma (PPSS) is increasingly recognized as a subtype of sarcoma because of the recent identification of a distinctive chromosomal translocation specific to synovial sarcoma. Soft-tissue synovial sarcoma is far more common than PPSS and typically develops in para-articular locations of the extremities; affects young and middle-aged adults, with no difference in distribution between the sexes; and has well-documented radiologic manifestations. PPSS may arise in the chest wall, heart, mediastinum, pleura, or lung, and it shares patient demographics and several imaging features with its soft-tissue counterpart. Patients present with a cough, chest pain, or dyspnea. On chest radiographs, PPSS typically appears as a sharply marginated mass with uniform opacity, based either in the pleura or in the lung, and often accompanied by an ipsilateral pleural effusion. Computed tomographic images show a well-circumscribed heterogeneously enhanced lesion without associated involvement of bone and without calcifications (except in the case of a chest wall primary tumor). Magnetic resonance imaging provides superior demonstration of nodular soft tissue and multilocular fluid-filled internal components of PPSS, in addition to peripheral rim enhancement after the intravenous administration of a gadolinium-based contrast material such as gadopentetate dimeglumine. Current treatment consists of surgical resection followed by chemotherapy, radiation therapy, or both. FAU - Frazier, Aletta Ann AU - Frazier AA AD - Department of Radiologic Pathology, Armed Forces Institute of Pathology, 14th St and Alaska Ave NW, Washington, DC 20306-6000, USA. frazier@afip.osd.mil FAU - Franks, Teri J AU - Franks TJ FAU - Pugatch, Robert D AU - Pugatch RD FAU - Galvin, Jeffrey R AU - Galvin JR LA - eng PT - Journal Article PT - Review PL - United States TA - Radiographics JT - Radiographics : a review publication of the Radiological Society of North America, Inc JID - 8302501 RN - 0 (Contrast Media) SB - IM MH - Contrast Media MH - Humans MH - Image Enhancement/*methods MH - Lung Neoplasms/*diagnosis MH - Magnetic Resonance Imaging/*methods MH - Pleural Neoplasms/*diagnosis MH - Practice Guidelines as Topic MH - Practice Patterns, Physicians' MH - Sarcoma, Synovial/*diagnosis RF - 47 EDAT- 2006/05/17 09:00 MHDA- 2006/09/06 09:00 CRDT- 2006/05/17 09:00 PHST- 2006/05/17 09:00 [pubmed] PHST- 2006/09/06 09:00 [medline] PHST- 2006/05/17 09:00 [entrez] AID - 26/3/923 [pii] AID - 10.1148/rg.263055211 [doi] PST - ppublish SO - Radiographics. 2006 May-Jun;26(3):923-40. doi: 10.1148/rg.263055211.