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Lung India Official publication of Indian Chest Society  
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Year : 2012  |  Volume : 29  |  Issue : 4  |  Page : 384-387

Primary monophasic synovial sarcoma lung with brain metastasis diagnosed on transthoracic FNAC: Report of a case with literature review

1 Department of Pathology, J. L. N. Medical College, Ajmer, Rajasthan, India
2 Department of Respiratory Medicine, J. L. N. Medical College, Ajmer, Rajasthan, India
3 Department of Radiation Oncology, J. L. N. Medical College, Ajmer, Rajasthan, India
4 Department of Internal Medicine, J. L. N. Medical College, Ajmer, Rajasthan, India

Correspondence Address:
Ramakant Dixit
A-60,Chandravardai Nagar, Ajmer, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-2113.102841

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Synovial sarcoma is highly malignant tumor of soft tissues, occurring chiefly in the extremities and limb girdle with a propensity for local recurrence and sometimes metastases to the lungs. Primary synovial sarcoma arising in the lungs is rare and brain metastasis as presentation is further uncommon. We report a case of primary monophasic synovial sarcoma lung presenting with brain metastasis in a 35-year-old male patient. The diagnosis was made on percutaneous transthoracic needle aspiration from left-sided pulmonary mass and later confirmed by immunohistochemistry. The utility of preoperative diagnosis by percutaneous aspiration cytology is also stressed.

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