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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2024; 34(01): 156-159
DOI: 10.1055/s-0043-1771521
Case Report

Femoral Vein Intravascular Synovial Sarcoma Mimicking Primary Deep Vein Thrombosis—A Rare Cause of Deep Vein Thrombosis

R. Jayakrishanan 
1   Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Jineesh Valakkada 
1   Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Anoop Ayyappan 
1   Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Rajalakshmi Poyuran
2   Department of Pathology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Shivanesan Pitchai
3   Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
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Abstract

Synovial sarcomas are rare malignant mesenchymal soft tissue tumors. We presented the case of a 53-year-old woman patient presenting with acute deep vein thrombosis, later diagnosed as a deep synovial sarcoma of the femoral vein wall. The tumor was identified through cross-sectional magnetic resonance angiography and computed tomography, followed by ultrasound-guided core biopsy. The case report emphasized the importance of considering the possibility of an intravascular neoplasm mimicking thrombus, particularly if calcifications, vein expansion with intravascular cystic spaces, fluid–fluid levels, and septations within a thrombosed vein are seen in imaging.

Keywords

deep vein thrombosis - femoral vein malignancy - intravascular synovial sarcoma - intravascular tumors - synovial sarcoma


Publication History

Article published online:
04 September 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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