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Synovial sarcoma presenting as a parotid mass: Case report and review of literature

✍ Scribed by Amrita Jay; Iain Hutchison; Kim Piper; Paula M. Farthing; Polly S. Richards

Publisher
John Wiley and Sons
Year
2008
Tongue
English
Weight
397 KB
Volume
30
Category
Article
ISSN
1043-3074

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✦ Synopsis

Abstract

Background

Synovial sarcoma is an unusual neoplasm of mesenchymal derivation, which is uncommon in the head and neck sites. In the parotid gland, it is most likely to be misdiagnosed as a myoepithelial, primary mesenchymal, or metastatic neoplasm.

Methods

We report a case of synovial sarcoma in a young woman who was seen with temporomandibular joint symptoms with a 10‐year history. A review of the literature was undertaken to highlight the radiologic and histologic features that help in diagnosis as well as the suggested therapeutic protocols most likely to ensure better survival.

Results

Radiologic and histologic studies of the parotid mass led to a diagnosis of synovial sarcoma. A total parotidectomy was performed, and the individual remains tumor free at 36months.

Conclusions

Review of the literature suggests an aggressive long‐term outcome for synovial sarcoma and advocates early diagnosis and radical surgical excision for a favorable prognosis. Β© 2008 Wiley Periodicals, Inc. Head Neck, 2008

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