Authors: Khaled Abdulaziz Almohaimeed , Saleh Abdulrahman Alnasser

Abstract

Background: Chest wall sarcoma (CWS) is a rare and complex malignant tumor. CWS is an aggressive and heterogeneous tumor that represents a formidable challenge to clinicians. Synovial sarcoma of chest wall is a rare entity, and there are no sufficient data on its incidence and management.

Case Presentation: Here, we present a 35-year-old lady who received four cycles of chemotherapy for left breast cancer and excision of lateral chest wall superficial mass. The current imaging of the patient revealed a large CWS invading the pleura and was in very close proximity to the left lung and pericardium, with ribs destruction. The patient underwent resection of four ribs, the whole left breast and axillary lymph node, followed by chest wall reconstruction using plates. The patient underwent resection and reconstruction as she revealed no evidence of metastasis. The procedure went well, with no postoperative complications indicating the possibility of performing reconstruction promptly following resection.

Conclusion: The pathological diagnosis of the patient suggested synovial sarcoma; therefore, large synovial sarcoma of the chest wall is a rare condition that can be managed by total resection of the breast, chest wall, and lymph node.

Keywords: Sarcoma, Treatment, Resection, Reconstruction