PMID- 37089080 OWN - NLM STAT- MEDLINE DCOM- 20230605 LR - 20230609 IS - 1759-7714 (Electronic) IS - 1759-7706 (Print) IS - 1759-7706 (Linking) VI - 14 IP - 16 DP - 2023 Jun TI - Whole-exome sequencing in primary pulmonary synovial sarcoma misdiagnosed as mesothelioma: A case report and literature review. PG - 1520-1529 LID - 10.1111/1759-7714.14876 [doi] AB - Synovial sarcoma is a highly malignant tumor that accounts for 10% of all soft tissue sarcomas. Primary pulmonary synovial sarcoma (PPSS) is extremely rare, and its prognosis is poor. A diagnosis is usually established after other primary lung malignancies or metastatic extrathoracic sarcomas have been excluded. Therefore, it is often misdiagnosed. In this study, we report the case of a 38-year-old woman who was misdiagnosed as having pleural mesothelioma and finally endured surgery to remove the tumor. The tumor showed SYT-SSX fusion transcripts and was diagnosed as PPSS after combining histopathological and immunohistochemical analyses. Finally, we determined some biomarkers through whole-exome sequencing (WES) to improve the diagnosis and treatment strategies. CI - (c) 2023 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. FAU - Wu, Di AU - Wu D AUID- ORCID: 0000-0003-4640-8063 AD - Department of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China. FAU - Zhang, Hongbing AU - Zhang H AD - Department of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China. FAU - Li, Xin AU - Li X AD - Department of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China. FAU - Liu, Jinghao AU - Liu J AD - Department of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China. FAU - Liu, Minghui AU - Liu M AD - Department of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China. FAU - Liu, Hongyu AU - Liu H AD - Tianjin Key Laboratory of Lung Cancer Metastasis and Tumor Microenvironment, Tianjin Lung Cancer Institute, Tianjin Medical University General Hospital, Tianjin, People's Republic of China. FAU - Dong, Ming AU - Dong M AD - Department of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China. FAU - Chen, Jun AU - Chen J AD - Department of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China. AD - Tianjin Key Laboratory of Lung Cancer Metastasis and Tumor Microenvironment, Tianjin Lung Cancer Institute, Tianjin Medical University General Hospital, Tianjin, People's Republic of China. LA - eng PT - Case Reports PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20230423 PL - Singapore TA - Thorac Cancer JT - Thoracic cancer JID - 101531441 RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Biomarkers, Tumor) SB - IM MH - Female MH - Humans MH - Adult MH - *Sarcoma, Synovial/diagnosis/genetics/surgery MH - Exome Sequencing MH - *Lung Neoplasms/diagnosis/genetics/surgery MH - *Mesothelioma, Malignant MH - *Mesothelioma MH - Diagnostic Errors MH - Oncogene Proteins, Fusion/genetics MH - Biomarkers, Tumor/genetics PMC - PMC10234783 OTO - NOTNLM OT - anlotinib OT - diagnosis and treatment OT - primary pulmonary synovial sarcoma OT - whole-exome sequencing COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/04/24 06:41 MHDA- 2023/06/05 06:42 PMCR- 2023/04/23 CRDT- 2023/04/24 03:03 PHST- 2023/03/16 00:00 [revised] PHST- 2023/02/19 00:00 [received] PHST- 2023/03/18 00:00 [accepted] PHST- 2023/06/05 06:42 [medline] PHST- 2023/04/24 06:41 [pubmed] PHST- 2023/04/24 03:03 [entrez] PHST- 2023/04/23 00:00 [pmc-release] AID - TCA14876 [pii] AID - 10.1111/1759-7714.14876 [doi] PST - ppublish SO - Thorac Cancer. 2023 Jun;14(16):1520-1529. doi: 10.1111/1759-7714.14876. Epub 2023 Apr 23.