Primary Thoracic Sarcoma in a 61-Year-Old Woman: A Rare but Aggressive Mediastinal Tumor
Primary Thoracic Sarcoma in a 61-Year-Old Woman: A Rare but Aggressive Mediastinal Tumor Keywords : primary thoracic sarcoma, mediastinal mass, spindle cell sarcoma, FDG-PET CT, anterior mediastinal tumor, thoracic oncology, chest CT, pleural effusion, malignant mediastinal mass Introduction Primary thoracic sarcomas are exceedingly rare neoplasms that often masquerade as more common mediastinal masses. When they occur in the anterior mediastinum, they challenge even experienced radiologists and oncologists due to their heterogeneous imaging appearance and aggressive local behavior. This column presents a case study of a 61-year-old woman with worsening dyspnea, ultimately diagnosed with a primary thoracic sarcoma—specifically, a spindle cell sarcoma—through radiological evaluation and core needle biopsy. Clinical Presentation A 61-year-old woman presented with progressively worsening shortness of breath over the past two weeks. She initially visited her outpatient clinic for...