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Case report 871. Synovial sarcoma, monophasic type

M Blacksin1, A Adesokan, J Benevenia

  • 1Department of Radiology, University of Medicine of New Jersey, Newark 07103-2425.

Skeletal Radiology
|October 1, 1994
PubMed
Summary

Synovial sarcoma of the foot can present with rare radiographic findings, including lamellated periosteal reactions and extensive marrow invasion. This case highlights unusual imaging features not typically associated with this rare cancer.

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Area of Science:

  • Orthopedic Oncology
  • Radiology
  • Pathology

Background:

  • Synovial sarcoma is a rare soft tissue sarcoma that can affect the extremities.
  • Radiographic and advanced imaging findings are crucial for diagnosis and staging.

Observation:

  • A patient presented with a synovial sarcoma of the foot exhibiting several uncommon radiographic features.
  • Lamellated periosteal reaction was observed in a metatarsal, a finding rarely documented in synovial sarcoma.
  • Magnetic resonance imaging revealed extensive marrow invasion in multiple foot bones.

Findings:

  • The observed lamellated periosteal reaction is an atypical radiographic manifestation for synovial sarcoma.
  • Extensive bone marrow invasion, as visualized by MRI, contrasts with the typically reported erosive bony changes.

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Implications:

  • This case expands the understanding of the radiographic spectrum of synovial sarcoma.
  • Awareness of these unusual findings can aid in earlier and more accurate diagnosis.
  • Further research may elucidate the pathobiology underlying these distinct imaging characteristics.