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Primary synovial sarcoma of the maxilla
Manikkath Aparna, Jayalakshmi Natarajan, Chakravarty Arumugam
1Department of Oral Pathology and Microbiology, Manipal College of Dental Sciences, Manipal University, Manipal, Karnataka, India.
A rare synovial sarcoma presented as a gingival mass in a young male, causing significant bone destruction. This case highlights the importance of considering this rare oral cancer in differential diagnoses.
Area of Science:
- Oral oncology
- Pathology
- Radiology
Background:
- Synovial sarcoma is a rare soft tissue malignancy, infrequently occurring in the oral cavity.
- Primary synovial sarcoma of the maxilla is exceptionally rare, with limited documented cases.
Observation:
- A 21-year-old male presented with a seemingly benign gingival mass in the maxilla.
- Radiographic examination revealed extensive osteolysis, indicating significant bone destruction.
Findings:
- The gingival mass was diagnosed as a primary monophasic synovial sarcoma of the maxilla.
- This represents the third reported case of maxillary monophasic synovial sarcoma and the first in a male patient.
Implications:
- The case underscores the necessity of including synovial sarcoma in the differential diagnosis for oral cavity masses, regardless of apparent benignity.
- Appropriate diagnostic strategies and treatment protocols are crucial for managing this rare malignancy.
- Further research into the pathogenesis and optimal management of oral synovial sarcomas is warranted.
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