Diagnosis and treatment of pulmonary synovial sarcoma
10.3760/cma.j.issn.1673-4904.2014.20.010
- VernacularTitle:肺滑膜肉瘤的诊治现状
- Author:
Jiwei YU
;
Shilu QIU
- Publication Type:Journal Article
- Keywords:
Sarcoma,synovial;
Lung;
Diagnosis
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(20):29-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the way of improving the diagnosis and cure rate of pulmonary synovial sarcoma.Methods One case of pulmonary synovial sarcoma was selected,at the same time accompanied with 80 cases of pulmonary synovial sarcoma with complete data referenced from China Journal Full-text Database on October 2012 were retrospectively studied.The main clinical manifestations,imaging characteristics were analyszed.According to the pathology,immunohisochemistry and molecular biology for diagnosis and discrimination,in order to reduce the misdiagnosis.Results All of 81 patients,40 male cases and 41 female cases,the main clinical manifestations were chest pain,difficult breathing,hemoptysis and cough.In individual cases without any discomfort.All cases had not been accurately diagnosed before surgery.Ultimately diagnosis of patients depend on histopathology and immunohistochemistry.Conclusions Pulmonary synovial sarcoma shows different clinical symptoms but specific imaging characteristic and maybe confused with other pulmonary tumors or inflammation.Histopathological,immunophenotypic and fusion gene detection is the mainly technics for diagnosis.Surgery is the primary therapy,patients undergoing uncompletely resection have a poor prognosis.