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Unveiling Rarity: A Case Report of a Poorly Differentiated Synovial Sarcoma Mimicking a Plunging Ranula
Jorge Sanchez1, Nehemias Guevara1, Volha Chapiolkina1
1Internal Medicine, St. Barnabas Hospital Health System, New York, USA.
Cureus
|July 15, 2024
Summary
This case report details a rare instance of synovial sarcoma in a young man
Area of Science:
- Oncology
- Pathology
- Head and Neck Surgery
Background:
- Synovial sarcomas are rare, aggressive soft tissue tumors.
- They typically affect extremities but can occur in the head and neck.
- Head and neck presentation often involves localized symptoms.
Observation:
- A 20-year-old male presented with a 3-month history of submental swelling.
- A 5 cm non-tender mass was palpable on the left side of the neck.
- Initial diagnosis considered a plunging ranula before surgical excision.
Findings:
- Pathological analysis confirmed poorly differentiated synovial sarcoma.
- Post-operative imaging showed mass size reduction but persistence.
- This represents a rare case of synovial sarcoma on the floor of the mouth.
Implications:
- Highlights the importance of considering synovial sarcoma in head and neck masses.
- Underscores the need for thorough pathological examination of neck tumors.
- Contributes to the limited literature on head and neck synovial sarcomas.
