An asymptomatic patient presented a pulmonary metastatis of a synovial sarc
oma 15 years after resection of the primary tumor localized in the right gr
oin area. The pathology findings demonstrated the non-specific variable nat
ure of the biphasic epithelial and mesenchymatous feature of such tumors. N
o treatment was initiated and the patient has remained asymptomatic after f
ive years follow up. Lack of change irt the radiological images led us to r
e-examine the prognosis and treatment in light of data in the literature.