Related Experiment Videos
Giant subcutaneous synovial sarcoma: an interesting case.
Pankaj Kumar Garg1, Debajyoti Mohnaty1, Bhupendra Kumar Jain2
1Assistant Professor, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi , Delhi, India .
Journal of Clinical and Diagnostic Research : JCDR
|February 20, 2014
Summary
This case report details an unusually large subcutaneous synovial sarcoma on the back. The rare paraspinal tumor was successfully excised, offering insights into its presentation and management.
Area of Science:
- Orthopedics
- Surgical Oncology
- Diagnostic Imaging
Background:
- Synovial sarcoma is a rare soft tissue sarcoma, typically affecting extremities.
- Subcutaneous presentation, especially in the paraspinal region, is uncommon.
- Large tumor size can pose diagnostic and surgical challenges.
Purpose of the Study:
- To report a rare case of a large subcutaneous synovial sarcoma in the paraspinal area.
- To highlight the diagnostic features and successful surgical management of this unusual presentation.
- To contribute to the literature on rare soft tissue sarcoma locations.
Main Methods:
- A 45-year-old female patient presented with a large, long-standing subcutaneous swelling.
- Magnetic Resonance Imaging (MRI) revealed a heterogeneous solid and cystic mass.
- Wide local excision followed by rotational flap reconstruction was performed.
Main Results:
- Histopathology confirmed synovial sarcoma, positive for cytokeratin and epithelial membrane antigen.
- The tumor measured 13x12 cm and was located in the subcutaneous tissue of the left posterior paraspinal area.
- Complete surgical excision was achieved with successful flap closure.
Conclusions:
- Subcutaneous synovial sarcoma can present as unusually large masses in the paraspinal region.
- Multimodality imaging is crucial for diagnosis.
- Wide local excision and reconstructive surgery are effective treatment modalities.