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Primary orbital monophasic synovial sarcoma with calcification: A case report.
Ming-Yu Ren1, Jing Li2, Rui-Miao Li3
1Department of Orbital Disease and Ocular Tumor, Hebei Eye Hospital, Xingtai 054001, Hebei Province, China. 147237583@qq.com.
World Journal of Clinical Cases
|February 25, 2022
Summary
Primary orbital synovial sarcoma is a rare cancer in children. Early diagnosis requires careful review of clinical, imaging, and pathology for effective treatment.
Area of Science:
- Oncology
- Ophthalmology
- Pathology
Background:
- Synovial sarcoma is a rare malignant mesenchymal neoplasm.
- Primary orbital involvement is exceptionally uncommon, particularly in pediatric patients.
- This tumor exhibits variable epithelial differentiation.
Observation:
- An 8-year-old girl presented with painless proptosis and lacrimation.
- Clinical and imaging findings were non-specific, mimicking benign orbital masses.
- Histopathological and immunohistochemical examination confirmed monophasic synovial sarcoma with calcification.
Findings:
- Monophasic synovial sarcoma with calcification is a rare orbital tumor.
- Clinical and radiological features lack specificity, potentially leading to misdiagnosis.
- Complete surgical resection is the primary treatment modality.
Implications:
- Comprehensive diagnostic analysis integrating clinical, radiological, and pathological data is crucial.
- Prompt diagnosis and surgical intervention are vital for favorable outcomes.
- Adjuvant or neoadjuvant radiotherapy may be considered for localized tumors.
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