滑膜肉瘤是一种恶性软组织肿瘤,多发生于青壮年的四肢。然而,胸壁滑膜肉瘤则非常少见,文献中仅有数例报道。一名57岁老年女性因胸痛就诊。影像学检查发现,右胸壁肿瘤破坏了第8肋骨中部,胸肌和胸膜外脂肪出现不均匀增强信号表明其亦受到累及。行胸壁切除术。组织学和免疫组化结果显示滑膜肉瘤。对患者进行辅助化疗,然而治疗过程中失访。6个月后,患者再次就诊时发现,胸壁出现复发的巨大肿瘤。 Synovial sarcoma is a malignant soft tissue tumor, mostly in limbs of young adults. However, thoracic synovial sarcomas are rare, with only a few reported in the literature. A 57-year-old woman attending for chest pain. Radiographic examination revealed that the right chest wall tumor destroyed the middle of the eighth rib, and the uneven enhancement of the chest and extrapleural fat signals indicated that it was also involved. Thoracotomy. Histological and immunohistochemical findings showed synovial sarcoma. Adjuvant chemotherapy is administered to the patient, however, lost during the course of treatment. After 6 months, the patient again found that the chest wall recurrence of a huge tumor.