Primary intrathoracic synovial cell sarcoma requiring radical resection of the chest wall and diaphragm with reconstruction using titanium mesh.

Intrathoracic synovial cell sarcomas are extremely rare tumors with a high rate of recurrence after resection. We report one such case of synovial cell sarcoma arising from the chest wall, which was completely intrathoracic without an external component. The tumor was resected twice and in spite of adjuvant chemo-radiation the tumor recurred. Radical resection of the tumor with reconstruction of the chest wall and diaphragm using titanium mesh and polypropylene mesh respectively was done. A latissimus dorsi flap cover was provided. Titanium mesh is an excellent prosthesis of choice for reconstruction, as it provides stability and better cosmesis of the chest wall. Radical resection can be offered for suitable candidates, with very low morbidity and mortality. Supplementary Information: The online version contains supplementary material available at 10.1007/s12055-022-01378-3. © Indian Association of Cardiovascular-Thoracic Surgeons 2022.