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.

VariableResult (range)

Median age30.5 years (3–83 years)

Male : female ratio2.9 : 1

Median size 11 cm (5–20 cm)

Status at presentation
 Localized resectable22 (55%)
 Locally advanced, unresectable16 (40%)
 Metastatic2 (5%)

Location
 Anterior/middle mediastinum28 (70%)
 Posterior mediastinum8 (20%)
 Uncertain4 (10%)

Histologic subtype
 Monophasic18 (45%)
 Biphasic13 (33%)
 Uncertain9 (22%)

Surgical resection
 Complete resection23 (58%)
 No resection or partial resection17 (42%)

Presenting symptoms and signs*
 Chest or shoulder pain22/32 (69%)
 Shortness of breath20/32 (63 %)
 Cough5/32 (16%)
 Pericardial effusion7/32 (22%)
 Pleural effusion3/32 (9%)
 Weakness and fatigue4/32 (13%)
 Fever4/32 (13%)
 Weight loss3/32 (9%)
 SVC obstruction1/32 (3%)

SVC: superior vena cava.
32 patients had clear data about clinical presentation.