Eriksen C, Burns L, Bohlke A, Haque S, Slakey DP. Management of monophasic synovial sarcoma of the small intestine.
JSLS 2011;
14:421-5. [PMID:
21333201 PMCID:
PMC3041044 DOI:
10.4293/108680810x12924466006846]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Although prognosis for patients with intraabdominal synovial sarcoma is poor, laparoscopic wide regional excision may allow for a more prolonged disease-free survival.
Background:
Reports of primary intraabdominal synovial sarcomas are extremely rare.
Methods:
A literature review using PubMed was performed. A retrospective review of the one known case at our institution was completed.
Results:
Even the most experienced pathologists report that synovial sarcomas can be very difficult to diagnose correctly. One cytogenic abnormality that is common (>90%) and pathognomonic for synovial sarcoma is a characteristic chromosomal translocation resulting in the SYT/SSX fusion gene. Wide regional excision has been performed for intraabdominal sarcoma, with improved results. Our patient is more than 24 months with no evidence of recurrent or metastatic disease.
Conclusions:
The prognosis for patients with intraabdominal synovial sarcoma remains poor. However, wide regional excision may allow for prolonged disease-free survival.
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