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class="entry-title">A Case of Primary Synovial Sarcoma of the Posterior Mediastinum with Aortic Wall Infiltration with Complete Imaging Pathway and Histological Diagnosis</h1> </header> <div class="entry-thumbnail"> <img width="260" height="146" src="https://medimagingcasereports.com/wp-content/uploads/sites/8/2022/06/Graphical-abstract.jpg" class="attachment-content-single wp-post-image" alt="Graphical-abstract"/></div> <p class="entry-meta"> </p> <div class="entry-content clearfix"> <div class="italics"><i>Danilo Caudo, Alessandro Santalco, Carmelo Anfuso, Ylenia Zullo, Alessandra Pelle, Caterina Benedetto, Annalisa<br/> Militi, Viviane Di Dio, Fabio Italiano, Ugo Barbaro</i></div> <div class="italics"></div> <div class="italics"></div> <div></div> <div></div> <div><strong>Abstract</strong></p> <p>Primary synovial mediastinal sarcomas are aggressive tumors with a very rare incidence. The few cases reported in the literature presented poor and incomplete imaging. In this report, we describe the case of a 72-year-old male patient<br/> hospitalized for dyspnoea and chest tightness. For these reasons, he underwent chest X-ray, contrast-enhanced CT, MRI, and PET, which revealed a large mass around the aortic walls. The patient underwent a CT-guided biopsy and the subsequent histopathological evaluation indicated features consistent with a soft tissue sarcoma and positive staining for vimentin. Infiltration of aorta walls was confirmed by an MRI study with cine-MRI sequences. The patient was treated with neoadjuvant chemotherapy, showing partial response. Unfortunately, during the following attempted surgical removal of the mediastinal mass, the patient deceased as a result of an aorta rupture. Our experience could help in diagnostic confidence and differential diagnosis, especially with benign tumors such as neurogenic<br/> tumors.</p> <p><strong>Published on:</strong> May 31, 2022<br/> <strong>doi:</strong> <a href="https://doi.org//10.17756/micr.2022-075" onclick="__gaTracker('send', 'event', 'outbound-article', 'https://doi.org//10.17756/micr.2022-075', '10.17756/micr.2022-075');">10.17756/micr.2022-075</a><br/> <strong>Citation: </strong>Caudo D, Santalco A, Anfuso C, Zullo Y, Pelle A, et al. 2022. A Case of Primary Synovial Sarcoma of the Posterior Mediastinum with Aortic Wall Infiltration with Complete Imaging Pathway and Histological Diagnosis. <i>J Med Imaging Case Rep</i> 6(1): 16-21.</p> <div> <div class="pdfdownloadlink"><img class="alignleft size-full wp-image-507" style="margin: 4px -5px 4px 5px;" src="http://jnanoworld.com/wp-content/uploads/2017/04/pdf-icon-24-e1509106685135-1.png" alt="" width="16" height="16"/><div class="sdm_download_link"><a href="https://medimagingcasereports.com/?smd_process_download=1&download_id=1680" class="sdm_download green" title="micr-075-danilo-caudo" target="_self">PDF (Download Full text)</a></div></div> <div> <p><div class="sdm_download_count"><span class="sdm_count_number"><strong>555</strong></span><br/><span class="sdm_count_string"> Downloads</span></div><span class="postviews_eachpost"><div class="post-views post-1677 entry-meta"> <span class="post-views-label">Views </span> <span class="post-views-count">1,249</span> 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