✦ LIBER ✦

Synovial sarcoma of the head and neck: Rare case of cervical metastasis

✍ Scribed by Hiroto Ishiki; Chie Miyajima; Kazunari Nakao; Takahiro Asakage; Masashi Sugasawa; Toru Motoi

Publisher: John Wiley and Sons
Year: 2009
Tongue: English
Weight: 227 KB
Volume: 31
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.20856

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background.

Synovial sarcoma is a rarely encountered soft tissue sarcoma. Surgery with a wide surgical margin is the treatment of choice. However, there is no consensus on the treatment of head and neck synovial sarcoma in patients with cervical metastasis.

Methods.

A 20‐year‐old man was seen with a palpable mass in the right neck. He had been diagnosed with synovial sarcoma of the right tonsil and treated by surgery 1 and a half years before; therefore, the mass detected was thought to be a cervical metastasis of synovial sarcoma. We performed a modified radical neck dissection with no postoperative treatment. The pathological diagnosis was confirmed by detecting the SS‐specific fusion gene SYT‐SSX1.

Results.

The patient remains free of recurrence or metastasis 2 years and 10 months after the surgery.

Conclusions.

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