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Case Reports in Obstetrics and Gynecology
Volume 2012 (2012), Article ID 326031, 3 pages
http://dx.doi.org/10.1155/2012/326031
Case Report

Primary Pulmonary Synovial Sarcoma in Pregnancy

Department of Obstetrics and Gynecology, Madigan Army Medical Center, Tacoma, WA 98431, USA

Received 28 May 2012; Accepted 13 August 2012

Academic Editors: D. Hochner-Celnikier, I. MacKenzie, and E. Vaisbuch

Copyright © 2012 K. Bunch and S. H. Deering. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.