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Synovial sarcoma arising in the foot: case report.
Steven F Boc1, Sharmila Das-Wattley, Eric Roberts
1Hahnemann University Hospital, Drexel University College of Medicine, Hahnemann University Hospital, Philadelphia, PA 19107, USA. sfbocdpm1@comcast.net
Summary
Synovial sarcoma, a rare soft tissue tumor, can mimic infection or trauma, especially in the foot. Early diagnosis is crucial for effective treatment of this aggressive cancer.
Area of Science:
- Orthopedic Oncology
- Diagnostic Radiology
- Soft Tissue Pathology
Background:
- Synovial sarcomas are malignant soft tissue tumors typically found near joints and tendons.
- Their presentation can often mimic benign conditions like infection or trauma, posing a diagnostic challenge.
Observation:
- A 19-year-old male presented with foot pain after trauma, initially showing no abnormalities on radiographs.
- Delayed imaging revealed destructive changes in the metatarsals, prompting further investigation.
Findings:
- Fine-needle aspiration biopsy confirmed primary synovial sarcoma of the foot.
- Metastatic disease to the lungs was identified.
- Amputation at Chopart's joint was performed as treatment.
Implications:
- This case highlights the importance of considering rare neoplastic processes in the differential diagnosis of soft tissue masses, even after initial negative findings.
- Prompt and accurate diagnosis of primary synovial sarcoma is critical for timely intervention and improved patient outcomes.
- Clinicians must maintain a high index of suspicion for sarcomas presenting with seemingly innocuous symptoms.
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