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Synovial sarcoma: with radial nerve involvement.

L Cugola, R Pisa

    Journal of Hand Surgery (Edinburgh, Scotland)
    |June 1, 1985
    PubMed
    Summary
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    A rare synovial sarcoma caused radial nerve palsy in a teenage girl. Surgical removal and nerve grafting led to significant functional recovery.

    Area of Science:

    • Orthopedic Surgery
    • Neurology
    • Oncology

    Background:

    • Synovial sarcoma is a rare soft tissue malignancy.
    • Radial nerve palsy can result from various causes, including tumors.
    • Elbow joint involvement by sarcoma is uncommon.

    Observation:

    • A 16-year-old female presented with symptoms indicative of radial nerve palsy.
    • Imaging revealed a mass compressing the radial nerve at the elbow.
    • The patient exhibited classic signs of radial nerve dysfunction.

    Findings:

    • Histological examination confirmed the mass as a synovial sarcoma.
    • Surgical excision of the tumor was performed.
    • A nerve graft was utilized to repair the radial nerve defect.

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    Implications:

    • This case highlights synovial sarcoma as a potential cause of peripheral nerve palsy.
    • Successful surgical management and nerve reconstruction can restore function.
    • Early diagnosis and intervention are crucial for optimal outcomes in rare tumor presentations.