Primary Pulmonary Synovial Sarcoma in Pregnancy

الملخص EN

Background.

Primary pulmonary synovial sarcoma is a rare malignancy with a poor prognosis.

Surgical resection and postoperative management of these tumors has not been previously described in pregnancy.

Case.

A 38-year-old pregnant woman was admitted for evaluation of a right thoracic mass found on chest radiography at 26 weeks of gestation.

A computed tomography-guided biopsy was subsequently completed and demonstrated a high-grade neoplasm.

A right pneumonectomy was performed at 28 weeks of gestation due to pulmonary decompensation, and pathological examination revealed a pulmonary synovial sarcoma.

The patient developed a postpartum pulmonary embolism and expired 6 weeks after delivery.

Conclusion.

Aggressive intervention for pulmonary malignancies during pregnancy may be necessary.

Complete tumor resection is the most important prognostic factor in primary pulmonary synovial sarcoma.