# Treatment of Primary Pulmonary Synovial Sarcoma in a Low-Resource Country: A Case Report

## TL;DR

This case report describes the diagnosis and treatment of a rare lung cancer called synovial sarcoma in a 67-year-old man.

## Contribution

The report highlights the challenges of diagnosing and treating a rare cancer in a low-resource setting.

## Key findings

- Primary pulmonary synovial sarcoma is rare and often diagnosed late due to nonspecific symptoms.
- Accurate diagnosis requires combining clinical, imaging, and histological findings.
- Surgery combined with adjuvant radiotherapy was effective in this case.

## Abstract

Primary synovial sarcoma of the lung is a rare malignant cancer. The symptoms are nonspecific; they may not appear at all, so it is often diagnosed in the late stages. Moreover, accurate diagnosis requires a combination of the results of clinical evaluation, imaging, and histological examinations, since the results of these methods separately are not very specific and may lead to misdiagnosis. Given the rarity of this diagnosis, the therapy is not standardized. The preferred treatment regimen involves surgery combined with neoadjuvant or adjuvant radio- and chemotherapy. This case report describes a 67-year-old male patient who was diagnosed with pulmonary synovial sarcoma. Diagnosis was confirmed via computed tomography (CT) imaging and immunohistochemical (IHC) examination. After surgical removal, the patient underwent adjuvant radiotherapy.