Primary Pulmonary Synovial Sarcoma Showing a Prolonged Survival with Multimodality Therapy
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- Ogino Hirokazu
- Department of Respiratory Medicine and Rheumatology, The University of Tokushima Graduate School, Institute of Health Biosciences, Japan
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- Hanibuchi Masaki
- Department of Respiratory Medicine and Rheumatology, The University of Tokushima Graduate School, Institute of Health Biosciences, Japan
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- Takizawa Hiromitsu
- Department of Thoracic, Endocrine Surgery and Oncology, The University of Tokushima Graduate School, Institute of Health Biosciences, Japan
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- Sakiyama Shoji
- Department of Thoracic, Endocrine Surgery and Oncology, The University of Tokushima Graduate School, Institute of Health Biosciences, Japan
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- Sumitomo Hiroyuki
- Department of Thoracic, Endocrine Surgery and Oncology, The University of Tokushima Graduate School, Institute of Health Biosciences, Japan
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- Iwamoto Seiji
- Department of Radiology, The University of Tokushima Graduate School, Institute of Health Biosciences, Japan
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- Ikushima Hitoshi
- Department of Radiology, The University of Tokushima Graduate School, Institute of Health Biosciences, Japan
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- Nakajima Kohei
- Department of Neurosurgery, The University of Tokushima Graduate School, Institute of Health Biosciences, Japan
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- Nagahiro Shinji
- Department of Neurosurgery, The University of Tokushima Graduate School, Institute of Health Biosciences, Japan
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- Yamago Taito
- Department of Respiratory Medicine and Rheumatology, The University of Tokushima Graduate School, Institute of Health Biosciences, Japan
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- Toyoda Yuko
- Department of Respiratory Medicine and Rheumatology, The University of Tokushima Graduate School, Institute of Health Biosciences, Japan
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- Bando Yoshimi
- Division of Pathology, Tokushima University Hospital, Japan
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- Nishioka Yasuhiko
- Department of Respiratory Medicine and Rheumatology, The University of Tokushima Graduate School, Institute of Health Biosciences, Japan
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抄録
A 54-year-old man was referred to our hospital due to a mass shadow noted on a chest X-ray. Thoracoscopic lobectomy yielded a diagnosis of primary pulmonary synovial sarcoma according to the histology and SYT-SSX1 gene analyses. Five months after the thoracic surgery, he developed brain metastasis; therefore, we performed resection of the brain metastatic focus followed by radiotherapy. As a local recurrence in the thoracic cavity concurrently emerged, systemic chemotherapy was also administered. These observations indicated that a multidisciplinary approach may be useful against primary pulmonary synovial sarcoma, although there is presently no established therapeutic strategy due to its rarity and highly aggressive nature.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 55 (4), 381-387, 2016
一般社団法人 日本内科学会