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Inguinal swelling unveiling biphasic synovial sarcoma: A case report.
Faten Limaiem1, Mohamed Hajri2, Neirouz Kammoun2
1University of Tunis El Manar, Faculty of Medicine of Tunis, 1007, Tunisia; Department of Pathology, Hospital Mongi Slim La Marsa, Tunisia.
International Journal of Surgery Case Reports
|November 20, 2024
Summary
This case report details a rare inguinal synovial sarcoma in a 35-year-old man. Multimodal therapy, including surgery and radiotherapy, proved effective for this challenging soft tissue sarcoma.
Area of Science:
- Oncology
- Surgical Pathology
- Radiotherapy
Background:
- Synovial sarcoma is a rare, high-grade soft tissue sarcoma predominantly affecting young adults.
- Inguinal region involvement is exceptionally uncommon, posing diagnostic and therapeutic challenges.
Observation:
- A 35-year-old male presented with a progressive right inguinal mass.
- Imaging and biopsy confirmed biphasic synovial sarcoma.
- The patient underwent successful surgical resection with clear margins.
Findings:
- Histopathology revealed a biphasic sarcoma with spindle cell and glandular components.
- Adjuvant radiotherapy was administered post-surgery.
- The patient is undergoing regular follow-up.
Implications:
- This case underscores the rarity of inguinal synovial sarcoma.
- Individualized multimodal therapy is crucial for managing this rare presentation.
- Early diagnosis and comprehensive treatment are key for favorable outcomes.
