A successfully treated primary tracheal synovial sarcoma

• Main Authors: Mohamed Faisal Abdul Hamid, Sopian Wahab, Nik Nuratiqah Nik Abeed, Ng Boon Hau, Andrea Ban Yu-Lin
• Format: Article
• Language: English
• Published: SAGE Publishing 2021-03-01
• Series: Proceedings of Singapore Healthcare
• Online Access: https://doi.org/10.1177/2010105820948532

Primary tracheal synovial sarcoma is a rare malignancy and is usually found incidentally. Tumours can present with cough, dyspnoea, stridor and intermittent haemoptysis. The diagnosis is challenging because it is rare, and the symptoms may mimic other diseases of airway obstruction. A previously well 53-year-old man presented with an eight-month history of cough. He had a history of minimal haemoptysis a few months prior to presentation. Spirometry showed an obstructive pattern, and a computed tomography scan of the thorax revealed an intraluminal tracheal mass. This case highlights that a thorough initial evaluation, including spirometry, leads to an earlier diagnosis and successful treatment of this rare sarcoma.