Review Article
Primary Synovial Sarcomas of the Mediastinum: A Systematic Review and Pooled Analysis of the Published Literature
Table 1
Characteristics of the forty cases of mediastinal synovial sarcoma reported in the literature.
| Variable | Result (range) |
| Median age | 30.5 years (3–83 years) |
| Male : female ratio | 2.9 : 1 |
| Median size | 11 cm (5–20 cm) |
| Status at presentation | | Localized resectable | 22 (55%) | Locally advanced, unresectable | 16 (40%) | Metastatic | 2 (5%) |
| Location | | Anterior/middle mediastinum | 28 (70%) | Posterior mediastinum | 8 (20%) | Uncertain | 4 (10%) |
| Histologic subtype | | Monophasic | 18 (45%) | Biphasic | 13 (33%) | Uncertain | 9 (22%) |
| Surgical resection | | Complete resection | 23 (58%) | No resection or partial resection | 17 (42%) |
| Presenting symptoms and signs* | | Chest or shoulder pain | 22/32 (69%) | Shortness of breath | 20/32 (63 %) | Cough | 5/32 (16%) | Pericardial effusion | 7/32 (22%) | Pleural effusion | 3/32 (9%) | Weakness and fatigue | 4/32 (13%) | Fever | 4/32 (13%) | Weight loss | 3/32 (9%) | SVC obstruction | 1/32 (3%) |
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SVC: superior vena cava. 32 patients had clear data about clinical presentation.
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