{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T18:33:29Z","timestamp":1770230009770,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T00:00:00Z","timestamp":1714089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Primary pulmonary synovial sarcoma (PPSS) can originate from blood vessels of the bronchial wall, lung interstitium, and interstitial components, and accounts for 0.1%\u20130.5% of all primary lung malignancies, the most common symptoms are chest pain, cough, dyspnea, and hemoptysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Synovial sarcoma (SS) is a rare malignant tumor of stromal origin, which accounts for approximately 8%\u201310% of all soft tissue sarcomas. Primary pulmonary synovial sarcoma (PPSS) can originate from blood vessels of the bronchial wall, lung interstitium, and interstitial components, and accounts for 0.1%\u20130.5% of all primary lung malignancies. Patient concerns: We report the first case of a 57\u2010year\u2010old man with bloody pleural effusion as an initial manifestation of PPSS in the middle lobe of the right lung diagnosed after surgery. Diagnosis: Chest computed tomography (CT) revealed a mass in the middle lobe of the right lung, which was pathologically diagnosed as a monophasic SS after surgical resection. Interventions: Ten days after preoperative closed chest drainage, a right thoracotomy was performed to remove the right middle lobe of the lung. Outcomes: The patient recovered smoothly and was discharged from the hospital without any other postoperative treatment. A follow\u2010up chest CT scan 7\u2009months postoperatively revealed intrapulmonary recurrence with multiple metastases. Lessons: Monophasic PPSS of the lung may present with bloody pleural effusion as its first manifestation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.8841","type":"journal-article","created":{"date-parts":[[2024,4,27]],"date-time":"2024-04-27T04:46:10Z","timestamp":1714193170000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Primary pulmonary monophasic synovial sarcoma initially presenting with bloody pleural effusion: A case report and literature review"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5103-9107","authenticated-orcid":false,"given":"Tengcheng","family":"Yin","sequence":"first","affiliation":[{"name":"Thoracic Surgery, China\u2010Japan Union Hospital of Jilin University  Changchun China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bing","family":"Liu","sequence":"additional","affiliation":[{"name":"Emergency, The Third Affiliated Hospital of Changchun University of Chinese Medicine  Changchun China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinru","family":"Xue","sequence":"additional","affiliation":[{"name":"Thoracic Surgery, China\u2010Japan Union Hospital of Jilin University  Changchun China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiyu","family":"Liu","sequence":"additional","affiliation":[{"name":"Thoracic Surgery, China\u2010Japan Union Hospital of Jilin University  Changchun China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shengtao","family":"Shang","sequence":"additional","affiliation":[{"name":"Thoracic Surgery, China\u2010Japan Union Hospital of Jilin University  Changchun China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"Thoracic Surgery, China\u2010Japan Union Hospital of Jilin University  Changchun China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,26]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol28030177"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1482.204883"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2017.75.1941"},{"key":"e_1_2_12_5_1","first-page":"395","article-title":"Primary pleural synovial sarcoma: clinicopathologic evaluation of 19 cases with focal unusual histology and diagnostic pearls","volume":"7","author":"Hartel P","year":"2018","journal-title":"EC Pulmonol Respir 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