PMID- 18824448 OWN - NLM STAT- MEDLINE DCOM- 20081125 LR - 20081212 IS - 1525-7304 (Print) IS - 1525-7304 (Linking) VI - 9 IP - 5 DP - 2008 Sep TI - Primary pleuropulmonary synovial sarcoma. PG - 257-61 LID - 10.3816/CLC.2008.n.040 [doi] 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. Pleuropulmonary synovial sarcoma can 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 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 gadoliniumbased contrast material such as gadopentetate dimeglumine. Current treatment consists of surgical resection followed by chemotherapy, radiation therapy, or both. FAU - Mirzoyan, Michael AU - Mirzoyan M AD - Department of Medicine, Fairview Hospital, Cleveland, OH 44111, USA. FAU - Muslimani, Ala'a AU - Muslimani A FAU - Setrakian, Sebouh AU - Setrakian S FAU - Swedeh, Mohamed AU - Swedeh M FAU - Daw, Hamed A AU - Daw HA LA - eng PT - Journal Article PT - Review PL - United States TA - Clin Lung Cancer JT - Clinical lung cancer JID - 100893225 SB - IM MH - Humans MH - Lung Neoplasms/*pathology/therapy MH - Pleural Neoplasms/*pathology/therapy MH - Sarcoma, Synovial/*pathology/therapy RF - 51 EDAT- 2008/10/01 09:00 MHDA- 2008/12/17 09:00 CRDT- 2008/10/01 09:00 PHST- 2008/10/01 09:00 [pubmed] PHST- 2008/12/17 09:00 [medline] PHST- 2008/10/01 09:00 [entrez] AID - S1525-7304(11)70850-6 [pii] AID - 10.3816/CLC.2008.n.040 [doi] PST - ppublish SO - Clin Lung Cancer. 2008 Sep;9(5):257-61. doi: 10.3816/CLC.2008.n.040.