Abstract
Background: Synovial sarcoma is one of the rarest soft tissue tumor with a high grade of malignancy. Primary synovial sarcoma of the chest wall is rare.
 Presentation of case: A 65-year-old woman presented with history of left upper chest wall mass previously operated 9 months ago. The pathological report was a synovial sarcoma. Computed chest tomography was done and revealed a RT anterior infraclavicular mass with cystic a solid lesions measuring 8.5 *3.5*4 cm.
 Conclusion: The synovial sarcoma is aggressive malignancy and we think from the story of this case that early radical surgery plus systemic chemotherapy provides better outcome.
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