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Synovial sarcoma with intra-abdominal metastasis causing hemoperitoneum: a case-report.
Joshua J Thompson1, Rachel A Koch2, Vicki L Keedy3
1Department of Surgery, Vanderbilt University Medical Center, Preston Research Building, 2220 Pierce Avenue, Nashville, Tennessee, 37232-6860, USA. joshua.j.thompson.1@vumc.org.
World Journal of Surgical Oncology
|January 30, 2023
Summary
This case report details a rare instance of synovial sarcoma metastasis to the stomach. Expanded surveillance imaging may benefit high-risk sarcoma patients.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Synovial sarcoma is a rare soft tissue malignancy typically affecting extremities.
- Lung metastasis is common, but extrathoracic spread is infrequently reported.
Observation:
- A 49-year-old patient with upper extremity synovial sarcoma developed abdominal pain and hemoperitoneum 4 years post-treatment.
- Imaging revealed metastatic synovial sarcoma involving the stomach's greater curvature and peri-gastric tissues.
Findings:
- This case highlights an unusual presentation of metastatic synovial sarcoma.
- Multidisciplinary management was crucial for this complex patient.
Implications:
- Expanded surveillance imaging beyond the chest and local site may be warranted for high-risk synovial sarcoma.
- This case broadens the understanding of potential metastatic sites for synovial sarcoma.
