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JYMS : Journal of Yeungnam Medical Science

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Case Reports
A Case of Synovial Sarcoma in Mediastinum.
Yong Hoon Yoon, Dong Uk Kang, Eun Jeong Gong, Sang Yong Om, Jin Seo Lee, Ji Won Lyu, Woo Sung Kim
Yeungnam Univ J Med. 2013;30(1):51-54.   Published online June 30, 2013
DOI: https://doi.org/10.12701/yujm.2013.30.1.51
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Synovial sarcoma is a rare malignancy in the thoracic cavity, especially in the mediastinum. In this paper, a case of primary mediastinal synovial sarcoma is reported. A 34-year-old woman was hospitalized with dyspnea. Her chest X-ray and computed tomography (CT) showed a 16x13x11 cm mass in her anterior mediastinal space. Surgical resection was performed but was incomplete. The pathological and immunohistochemical analysis confirmed the diagnosis of monophasic spindle cell synovial sarcoma. The patient underwent adjuvant radiotherapy for two months, but local recurrence and metastasis occurred in her pleural cavity. She eventually underwent chemotherapy for one year and died 18 months after her operation.
Lumbar synovial cyst associated with retrolis thesis: a case report.
Sang Joon Choi, Sam Kyu Ko, Oh Lyong Kim, Yong Chul Chi, Byung Yearn Choi, Soo Ho Cho
Yeungnam Univ J Med. 1991;8(2):222-226.   Published online December 31, 1991
DOI: https://doi.org/10.12701/yujm.1991.8.2.222
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In advent of high-resolutional CT and MRI, it is not so difficult to detect the lumbar synovial cyst, however the unusual disease should be included in the differential diagnosis of cauda equine compression syndromes. The case of a 55-year-old man who had a low back pain and severe radiating pain on both legs showed a retrolisthesis at L3-4 and L4-5 and epidural enhancing mass just around L4-5 facet joint on MRI. Microscopically a lining of synovial tissue was demonstrated. After surgery of the total resection of synovial cyst and stabilization, the patient's presenting symptoms were improved.

JYMS : Journal of Yeungnam Medical Science
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