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Zimelewicz Oberman D, Cabral Porto G, Lopes OG, Iucif M, Amorim Correa JL. Thoracic spine synovial sarcoma, an unusual presentation. Neurochirurgie 2020; 67:397-398. [PMID: 33058904 DOI: 10.1016/j.neuchi.2020.08.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Accepted: 08/27/2020] [Indexed: 10/23/2022]
Affiliation(s)
- D Zimelewicz Oberman
- Department of neurosurgery, hospital Força Aérea do Galeão, Rio de Janeiro, Brazil.
| | - G Cabral Porto
- Department of neurosurgery, hospital Força Aérea do Galeão, Rio de Janeiro, Brazil
| | - O G Lopes
- Department of neurosurgery, hospital Força Aérea do Galeão, Rio de Janeiro, Brazil
| | - M Iucif
- Department of pathology, hospital Força Aérea do Galeão, Rio de Janeiro, Brazil
| | - J L Amorim Correa
- Department of neurosurgery, hospital Força Aérea do Galeão, Rio de Janeiro, Brazil
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Alshehri FD, Baeshen SK, Samkari AMN, Almehdar AS, Lary AI. Synovial sarcoma of the spine: A case report and review of the literature. Surg Neurol Int 2020; 11:257. [PMID: 33024595 PMCID: PMC7533099 DOI: 10.25259/sni_429_2020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Accepted: 08/06/2020] [Indexed: 12/20/2022] Open
Abstract
Background: Synovial sarcoma (SS) of the spine is a rare malignant soft-tissue tumor, and there are few reported cases. The aim of this paper is to report a rare case of spinal SS involving the paraspinal muscles, and to review all such cases reported in the literature. Case Description: In this paper, we report a rare case of spinal SS involving the paraspinal muscles in a 12-year-old girl. The patient underwent surgical excision of the mass with adjuvant radiation and chemotherapy. At the 1-year follow-up, there was no evidence of local tumor recurrence, and the patient’s symptoms had improved. In addition, we identified and reviewed 33 reported cases of SS involving the spine. Conclusion: Due to the limited number of reported cases in the literature, it is difficult to predict the outcomes of spinal SS. Further, different treatment modalities have been used to treat spinal SS. However, most of the reported cases had poor outcomes. Therefore, prospective multi-center studies are needed to further investigate the treatment strategies and outcomes for patients with spinal SS.
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Affiliation(s)
- Fayez Dhafer Alshehri
- Department of Medical Education, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia
| | - Salem Khaled Baeshen
- Department of Medical Education, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia
| | - Alaa Mohammed Noor Samkari
- Departments of Pathology and Laboratory Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, Makkah, Saudi Arabia
| | - Abeer Salim Almehdar
- Departments of Radiology King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, Makkah, Saudi Arabia
| | - Ahmed Ibrahim Lary
- Departments of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, Makkah, Saudi Arabia
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Yang M, Zhong N, Zhao C, Xu W, He S, Zhao J, Yang X, Xiao J. Surgical management and outcome of synovial sarcoma in the spine. World J Surg Oncol 2018; 16:175. [PMID: 30149806 PMCID: PMC6112132 DOI: 10.1186/s12957-018-1471-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2018] [Accepted: 08/03/2018] [Indexed: 12/22/2022] Open
Abstract
Background Synovial sarcoma (SS) is a soft tissue sarcoma that rarely occurs in the spine, and a minimal number of cases have been reported in the literature. Spinal SS is challenging in diagnosis and treatment and has a poor prognosis. The aim of this study was to summarize and analyse the clinical features and outcomes of patients with spinal SS. Methods A total of 16 cases of patients with spinal SS admitted to our institution were reviewed retrospectively. General information, radiological findings and treatment strategies were collected. These patients were followed up regarding their continuing treatment, local or distant recurrence and survival. Results Spinal SS patients in this series ranged in age from 12 to 68 years (median, 33). Four en bloc resections and 12 piecemeal resections were performed. Improved Frankel (P = 0.002), visual analogue scale (P = 0.002) and Karnofsky Performance Status (P = 0.002) scores were seen postoperatively. The mean follow-up period was 35.9 ± 23.5 (median 31.5, range 4–87) months, with four local recurrences and three distant metastases detected. Eight patients (50.0%) died of disease by the last follow-up. The 1-, 3- and 5-year overall survival rates were 87.5%, 61.4% and 40.9%, respectively. Preoperative chemotherapy was used in three patients to facilitate surgical resection, and adjuvant chemotherapy and radiotherapy were used in six patients. Conclusions Spinal SS has a relatively high risk of local recurrence and distant metastasis. Surgical intervention can improve the neurological function and relieve pain in these patients. En bloc excision is an effective treatment strategy to improve survival and prevent local recurrence. Management of spinal SS should be under the instruction of a multidisciplinary team.
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Affiliation(s)
- Minglei Yang
- Department of Orthopedic Oncology, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China
| | - Nanzhe Zhong
- Department of Orthopedic Oncology, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China
| | - Chenglong Zhao
- Department of Orthopedic Oncology, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China
| | - Wei Xu
- Department of Orthopedic Oncology, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China
| | - Shaohui He
- Department of Orthopedic Oncology, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China
| | - Jian Zhao
- Department of Orthopedic Oncology, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China
| | - Xinghai Yang
- Department of Orthopedic Oncology, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China.
| | - Jianru Xiao
- Department of Orthopedic Oncology, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China.
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