PMID- 27995774 OWN - NLM STAT- MEDLINE DCOM- 20171030 LR - 20181113 IS - 1759-7714 (Electronic) IS - 1759-7706 (Print) IS - 1759-7706 (Linking) VI - 8 IP - 2 DP - 2017 Mar TI - Occult primary pulmonary synovial sarcoma presenting as recurrent spontaneous pneumothorax and explosive progression. PG - 121-123 LID - 10.1111/1759-7714.12410 [doi] AB - Primary pulmonary synovial sarcoma (PPSS) is a relatively rare neoplasm with highly progressive potential. We present an extremely rare case of PPSS presenting as recurrent pneumothorax with bullous lesions. Bullectomy was performed at the local hospital. Unfortunately, the patient was initially misdiagnosed as atypical carcinoid. Although a negative resection margin was obtained during the first surgery and a remedial operation and chemotherapy followed, the patient developed severe disease progression and died soon after. This report demonstrates that PPSS can easily be misdiagnosed and should be seriously considered in the differential diagnosis of pneumothorax. CI - (c) 2016 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. FAU - Guo, Chenglin AU - Guo C AD - Department of Thoracic Surgery, West China Hospital, Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China. FAU - Liu, Chengwu AU - Liu C AD - Department of Thoracic Surgery, West China Hospital, Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China. FAU - Pu, Qiang AU - Pu Q AD - Department of Thoracic Surgery, West China Hospital, Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China. FAU - Lin, Feng AU - Lin F AD - Department of Thoracic Surgery, West China Hospital, Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China. FAU - Liu, Lunxu AU - Liu L AD - Department of Thoracic Surgery, West China Hospital, Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China. LA - eng PT - Case Reports PT - Research Support, Non-U.S. Gov't DEP - 20161220 PL - Singapore TA - Thorac Cancer JT - Thoracic cancer JID - 101531441 SB - IM MH - Adult MH - Diagnosis, Differential MH - Disease Progression MH - Fatal Outcome MH - Humans MH - Lung Neoplasms/*diagnostic imaging/pathology MH - Male MH - Pneumothorax/*etiology/surgery MH - Sarcoma, Synovial/*diagnostic imaging/pathology MH - Tomography, X-Ray Computed PMC - PMC5334290 OTO - NOTNLM OT - Pneumothorax OT - pulmonary OT - synovial sarcoma EDAT- 2016/12/21 06:00 MHDA- 2017/10/31 06:00 PMCR- 2017/03/01 CRDT- 2016/12/21 06:00 PHST- 2016/10/10 00:00 [received] PHST- 2016/11/01 00:00 [revised] PHST- 2016/11/07 00:00 [accepted] PHST- 2016/12/21 06:00 [pubmed] PHST- 2017/10/31 06:00 [medline] PHST- 2016/12/21 06:00 [entrez] PHST- 2017/03/01 00:00 [pmc-release] AID - TCA12410 [pii] AID - 10.1111/1759-7714.12410 [doi] PST - ppublish SO - Thorac Cancer. 2017 Mar;8(2):121-123. doi: 10.1111/1759-7714.12410. Epub 2016 Dec 20.