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Radiologic-Pathologic Conference of Keller Army Community Hospital at West Point, the United States Military Academy

Synovial Sarcoma of the Chest Wall

Liem T. Bui-Mansfield1, Keith J. Kaplan2 and Jason Boardman3

1 Department of Radiology, Keller Army Community Hospital, 900 Washington Rd., West Point, NY 10996-1197.
2 Department of Pathology, Walter Reed Army Medical Center, 6900 Georgia Ave., Washington, DC 20307-5001.
3 Department of Surgery, Keller Army Community Hospital, West Point, NY 10996-1197.



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  		Fig. 1A. —Synovial sarcoma of chest wall in 68-year-old man. Chest radiograph shows soft-tissue mass (arrow) in left chest wall.

 


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  		Fig. 1B. —Synovial sarcoma of chest wall in 68-year-old man. Contrast-enhanced CT scan shows cystic mass with fluid—fluid level (arrow) in subcutaneous fat of left anterior chest wall.

 


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  		Fig. 1C. —Synovial sarcoma of chest wall in 68-year-old man. Photomicrograph of pathology specimen shows malignant-appearing epithelial component (arrow) in malignant spindle cell component (arrowhead) with pleomorphic nuclei and conspicuous mitoses. (H and E, x40)

 


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  		Fig. 1D. —Synovial sarcoma of chest wall in 68-year-old man. Photomicrograph of pathology specimen shows malignant spindle cell component with pleomorphic nuclei and numerous mitoses. (H and E, x40)

 

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