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Synovial sarcoma of the ethmoid sinus

A Jain¹, A Saxena¹, R Meher¹

¹Department of ENT, Maulana Azad Medical College and Associated Lok Nayak Hospital, 110002 New Delhi, India.

European Annals of Otorhinolaryngology, Head and Neck Diseases

|October 25, 2018

Abstract

Introduction:

Synovial sarcoma is a malignant mesenchymal tumour typically occurring in the extremities. Its occurrence in the head and neck region, particularly in the paranasal sinuses is extremely rare.

Case Report:

Here, we report a case of primary synovial sarcoma of the ethmoid sinus in a 36-year-old female and review the literature of synovial sarcomas arising from the ethmoid sinus. Histopathology was essential in confirming the diagnosis. The patient underwent endoscopic excision of the tumour followed by postoperative radiotherapy.

Discussion:

As per our knowledge, only 2 cases of ethmoid sinus synovial sarcoma have been reported in the English literature till date. Although synovial sarcomas rarely involve the paranasal sinuses, they should be included in the differential diagnosis of paranasal sinus tumours. The accepted treatment modality is wide local excision followed by post operative radiotherapy.

Keywords:

Ethmoid sinus Paranasal sinus Synovial sarcoma

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