Primary cervical tracheal monophasic synovial sarcoma confirmed by SYT-SSX gene rearrangement

To review the existing diagnostic modalities and treatment for primary tracheal synovial sarcoma, and to report a case of primary cervical synovial sarcoma arising in the trachea.

Retrospective.

Head and neck surgery unit at a tertiary university centre.

One case of primary cervical tracheal monophasic synovial sarcoma diagnosed by SYT-SSX gene rearrangement.

This patient underwent surgical resection of the synovial sarcoma, together with tracheal resection and primary anastomosis assisted by laryngeal-releasing manoeuvres, without complication.

Clinical, radiographical, pathological and surgical information were collected.

One year post-operatively, there was no evidence of recurrence.

Synovial sarcoma arising in the trachea is very rare. Diagnosis is confirmed by demonstrating the SYT-SSX gene rearrangement. The first-line treatment is surgery.