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Biphasic synovial sarcoma in the cervical spine: Case report
Stephen M Foreman1, Michael J Stahl1
1Private practice of chiropractic, West Hills, California, USA.
Chiropractic & Manual Therapies
|May 25, 2011
Summary
This case report details a rare biphasic synovial sarcoma in the cervical spine of a young male. Early diagnosis and imaging are crucial for this soft tissue neoplasm, often misdiagnosed.
Area of Science:
- Oncology
- Orthopedic Surgery
- Radiology
Background:
- Synovial sarcoma is a rare soft tissue neoplasm, typically affecting young males near large joints.
- Head and neck region involvement is uncommon (3%), with very limited reports in the cervical spine.
Purpose of the Study:
- To present a case of biphasic synovial sarcoma in the cervical spine.
- To review clinical and imaging findings of this rare, atypically located neoplasm.
- To highlight the importance of timely diagnosis and imaging for paraspinal masses.
Main Methods:
- Case report of a 29-year-old male with cervical spine pain.
- Physical examination revealed a paravertebral mass and limited cervical motion.
- Magnetic Resonance (MR) imaging identified an 8.3 cm x 5.7 cm soft tissue mass; surgical removal and pathological examination confirmed biphasic synovial sarcoma.
Main Results:
- A malignant biphasic synovial sarcoma was diagnosed in the cervical spine.
- The tumor measured 8.3 cm x 5.7 cm and was surgically excised.
- Delayed diagnosis and imaging potentially prolonged treatment.
Conclusions:
- Synovial sarcoma can rarely occur in the cervical spine.
- Atypical presentations necessitate a broad differential diagnosis.
- Timely diagnostic imaging is critical for paraspinal masses to avoid delayed treatment.
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