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Synovial Sarcoma Mimicking Myositis Ossificans
Mehmet Sabri Balik1, Adem Erkut1, Yılmaz Guvercin1
1Department of Orthopaedic and Traumatology, Recep Tayyip Erdogan University, Rize, Turkey.
Knee Surgery & Related Research
|September 6, 2016
Summary
Early-phase synovial sarcoma (SS) can present as an asymptomatic calcification, mimicking myositis ossificans. Prompt diagnosis and surgical intervention are crucial for favorable outcomes in such cases.
Area of Science:
- Orthopedics
- Oncology
- Pathology
Background:
- Calcification masses in soft tissues can be incidentally discovered.
- Trauma history is common in patients presenting with soft tissue masses.
- Early-phase synovial sarcoma (SS) may present atypically.
Purpose of the Study:
- To highlight the importance of considering synovial sarcoma (SS) in the differential diagnosis of small, calcified soft tissue lesions.
- To emphasize the significance of early diagnosis and intervention for SS.
Main Methods:
- Case report of a patient with an incidentally found soft tissue calcification.
- Pathological analysis to determine the nature of the mass.
- Review of clinical presentation and diagnostic considerations.
Main Results:
- Incidental finding of a calcification mass in a patient with a history of extremity trauma.
- Pathological analysis confirmed early-phase synovial sarcoma (SS).
- Diagnosis was established prior to symptom onset.
Conclusions:
- Small (<1 cm) calcified lesions suspicious for myositis ossificans should also raise suspicion for synovial sarcoma (SS).
- Early detection of SS, even in asymptomatic patients, allows for timely surgical intervention.
- Synovial sarcoma (SS) should be included in the differential diagnosis for unexplained soft tissue calcifications.
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