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Inguinal synovial sarcoma revealed by a limb swelling: A case report
Jaber Chaker1, Ilyes Khlas1, Imen Bouassida2
1Department of Cardiovascular Surgery, Abderrahmane Mami Hospital, Ariana, Tunisia.
International Journal of Surgery Case Reports
|January 19, 2024
Summary
This case report highlights a rare inguinal synovial sarcoma in a young adult. Complete surgical resection with adjuvant therapy led to a favorable 2-year outcome, emphasizing awareness of unusual presentations.
Area of Science:
- Oncology
- Surgical Pathology
- Radiology
Background:
- Synovial sarcoma is a rare malignant soft tissue tumor, typically near joints.
- Inguinal location is exceptionally uncommon, posing diagnostic challenges.
Observation:
- A 23-year-old presented with lower limb swelling due to an inguinal tumor compressing the femoral vein.
- Imaging and trucut biopsy confirmed synovial sarcoma.
Findings:
- Complete surgical resection was performed.
- Adjuvant radiotherapy and chemotherapy were administered.
- No recurrence was observed at the 2-year follow-up.
Implications:
- Awareness of unusual presentations of synovial sarcoma is crucial for timely diagnosis.
- Multimodal treatment, including surgery and adjuvant therapies, can be effective.
- This case underscores the importance of comprehensive management for rare soft tissue sarcomas.

