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Sanchez J, Guevara N, Chapiolkina V, Perez Rosario EM, Tole MC, Mekonen Y, Fulger I. Unveiling Rarity: A Case Report of a Poorly Differentiated Synovial Sarcoma Mimicking a Plunging Ranula. Cureus 2024; 16:e64290. [PMID: 39007017 PMCID: PMC11241640 DOI: 10.7759/cureus.64290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2024] [Accepted: 07/10/2024] [Indexed: 07/16/2024] Open
Abstract
Synovial sarcomas are uncommon and highly aggressive sarcomas. Typically, they start in the soft tissues of the extremities, although they may develop in the head and neck region in rare cases. When they do, they usually present with localized symptoms in the affected area. Our patient is a 20-year-old man without a medical history who complained of a three-month history of submental swelling of the left side with a non-tender, palpable 5 cm mass. Initially believed to be a plunging ranula, the patient underwent transoral excision of the left submandibular soft tissue mass in the neck by the ear, nose, and throat (ENT) specialist. The pathological analysis of the mass confirmed the presence of a poorly differentiated synovial sarcoma. A postoperative neck imaging was performed, which showed a significant decrease in mass size compared to the previous imaging; however, the mass was still present. This is one of the few described cases of a poorly differentiated synovial sarcoma located on the floor of the mouth. Therefore, it highlights the importance of considering it as a possible differential diagnosis of head and neck pathologies.
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Affiliation(s)
- Jorge Sanchez
- Internal Medicine, St. Barnabas Hospital Health System, New York, USA
| | - Nehemias Guevara
- Internal Medicine, St. Barnabas Hospital Health System, New York, USA
| | - Volha Chapiolkina
- Internal Medicine, St. Barnabas Hospital Health System, New York, USA
| | | | - Maria C Tole
- Internal Medicine, St. Barnabas Hospital Health System, New York, USA
| | - Yemesrach Mekonen
- Internal Medicine, St. Barnabas Hospital Health System, New York, USA
| | - Ilmana Fulger
- Hematology-Oncology, St. Barnabas Hospital Health System, New York, USA
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Saadaat R, Esmat E, Abdul‐Ghafar J, Ullah S, Hanifi AN, Khairy AL, Zahier AS, Haidary AM, Noor S. Primary synovial sarcoma in anal canal: Report of a very rare case. Clin Case Rep 2024; 12:e9062. [PMID: 38868121 PMCID: PMC11166559 DOI: 10.1002/ccr3.9062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Revised: 04/18/2024] [Accepted: 05/25/2024] [Indexed: 06/14/2024] Open
Abstract
Extensive studies are required to understand the behavior as well as prognosis of SS in the colorectal region. IHC staining is essential for the accurate diagnosis when a lesion is encountered at an unusual site.
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Affiliation(s)
- Ramin Saadaat
- Department of Pathology and Clinical LaboratoryFrench Medical Institute for Mothers and Children (FMIC)KabulAfghanistan
| | - Esmatullah Esmat
- Department of Pathology and Clinical LaboratoryFrench Medical Institute for Mothers and Children (FMIC)KabulAfghanistan
| | - Jamshid Abdul‐Ghafar
- Department of Pathology and Clinical LaboratoryFrench Medical Institute for Mothers and Children (FMIC)KabulAfghanistan
| | - Saif Ullah
- Department of Internal MedicineFrench Medical Institute for Mothers and Children (FMIC)KabulAfghanistan
| | - Ahmed Nasir Hanifi
- Central Public Health Laboratory, Ministry of Public HealthKabulAfghanistan
| | - Abdul Latif Khairy
- Department of Pathology and Clinical LaboratoryFrench Medical Institute for Mothers and Children (FMIC)KabulAfghanistan
| | | | - Ahmed Maseh Haidary
- Department of Pathology and Clinical LaboratoryFrench Medical Institute for Mothers and Children (FMIC)KabulAfghanistan
| | - Sarah Noor
- Department of OncologyAli Abad HospitalKabulAfghanistan
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Ojha T, Kataria V, Gupta P, Sharma B. Synovial Sarcoma of Cheek: A Rare Case Report with Review of Literature. Indian J Otolaryngol Head Neck Surg 2023; 75:913-916. [PMID: 37275007 PMCID: PMC10235361 DOI: 10.1007/s12070-022-03189-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Accepted: 09/23/2022] [Indexed: 11/07/2022] Open
Abstract
Synovial sarcomas are a rare entity in the head and neck region. We present a rare case of a 50 year old female presenting with a painless mass over right cheek since one year which gradually increased in size since past two months. Imaging was done which revealed a mass lesion in soft tissue of right cheek deep to the masseter muscle with no obvious involvement of the adjacent part of maxilla and mandible. Local wide excision of tumor was done. Histopathological examination revealed a malignant mesenchymal tumour. Further the specimen was subjected to immunohistochemical marker studies and diagnosis of high grade spindle cell sarcoma possibly synovial sarcoma was given. Patient then received Image guided radiation therapy and along with platinum based chemotherapy. Patient tolerated the treatment well. Patient was followed up for one year after completion of treatment and no recurrence was observed.
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Affiliation(s)
- Tarun Ojha
- Department of ENT, Mahatma Gandhi Medical College and Hospital, Jaipur, India
| | - Vaishali Kataria
- Department of ENT, Mahatma Gandhi Medical College and Hospital, Jaipur, India
| | - Priyanshi Gupta
- Department of ENT, Mahatma Gandhi Medical College and Hospital, Jaipur, India
| | - Buddhiprakash Sharma
- Department of Plastic Surgery, Mahatma Gandhi Medical College and Hospital, Jaipur, India
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Quan H, Sreekissoon S, Wang Y. Synovial sarcoma of the head and neck: A review of reported cases on the clinical characteristics and treatment methods. Front Cell Dev Biol 2022; 10:1077756. [PMID: 36684451 PMCID: PMC9853006 DOI: 10.3389/fcell.2022.1077756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2022] [Accepted: 12/12/2022] [Indexed: 01/08/2023] Open
Abstract
Synovial sarcoma (SS) is a high-grade soft-tissue sarcoma that occurs predominantly in older children and young adults in their thirties. It is usually very challenging to diagnose and treat synovial sarcoma in the head and neck region. The purpose of this review is to investigate the clinical manifestations and different treatment methods in the management of primary synovial sarcoma of the head and neck. HNSS has an aggressive nature and poor prognosis. Surgical resection, radiotherapy, and chemotherapy are the primary treatment methods. Typically, surgical resection with negative margins remains the foundation of therapy, which is not very easily achieved in the head and neck due to its complex anatomical structure and the presence of many blood vessels and nerves. However, synovial sarcoma has a high recurrence rate, so aggressive management and close follow-up are warranted for the optimal outcome.
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Affiliation(s)
- Hongzhi Quan
- Department of Oral Maxillofacial Surgery, Xiangya Stomatological Hospital and School of Stomatology, Central South University, Changsha, Hunan, China
| | - Senjeet Sreekissoon
- Department of Oral Maxillofacial Surgery, Xiangya Stomatological Hospital and School of Stomatology, Central South University, Changsha, Hunan, China
| | - Yan Wang
- School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang, China
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Teixeira LN, da Cruz EZ, Rosa ACG, Rodrigues AA, Passador-Santos F, de Araújo VC, Soares AB. Primary Intraosseous Synovial Sarcoma in the Mandible. Case Rep Oncol Med 2021; 2021:9945591. [PMID: 34877023 PMCID: PMC8645409 DOI: 10.1155/2021/9945591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 10/20/2021] [Accepted: 10/26/2021] [Indexed: 11/18/2022] Open
Abstract
Synovial sarcoma (SS) is a rare malignant mesenchymal tumor that mainly occurs in body extremities, being uncommon in the head and neck region. In the present study, we described a case of primary intraosseous SS arising in the mandible of a 22-year-old young male. The patient reported a painful swelling on the left side of the mandible for the last 7 months. Imaging exams showed the presence of an expansive and multilocular radiolucent lesion, extending from the left condyle to the mandibular body. The clinic diagnostic hypotheses were ameloblastoma or malignant neoplasm. Histologically, the lesion was characterized by a proliferation of spindle cells exhibiting vesicular nuclei and evident nucleolus. Neoplastic cells were positive for AE1/AE3, cytokeratin 7, vimentin, CD-99, and TLE-1 and negative for CD-34, S-100, SMA, and HHF-35. A combination of clinical, histologic, and immunohistochemical characteristics supported the diagnosis of SS. The patient was referred for treatment, and preoperative exams did not reveal any other tumor foci in the body of the patient. The final diagnosis was of a primary intraosseous SS of the mandible.
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Affiliation(s)
- Lucas Novaes Teixeira
- Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira 13, Swift, 13045-755 Campinas, SP, Brazil
| | - Eduardo Zambaldi da Cruz
- Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira 13, Swift, 13045-755 Campinas, SP, Brazil
| | - Ana Cláudia Garcia Rosa
- Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira 13, Swift, 13045-755 Campinas, SP, Brazil
- School of Medicine, Federal University of Tocantins, Avenida NS-15, Quadra 109, Norte, S/n-Plano Diretor Norte, Palmas TO 77001-090, Brazil
| | - Anderson Abdo Rodrigues
- School of Medicine, Federal University of Tocantins, Avenida NS-15, Quadra 109, Norte, S/n-Plano Diretor Norte, Palmas TO 77001-090, Brazil
| | - Fabrício Passador-Santos
- Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira 13, Swift, 13045-755 Campinas, SP, Brazil
| | | | - Andresa Borges Soares
- Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira 13, Swift, 13045-755 Campinas, SP, Brazil
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Wang Y, Zhu F, Wang K. Synovial sarcoma of the floor of the mouth: a rare case report. BMC Oral Health 2020; 20:5. [PMID: 31906928 PMCID: PMC6945757 DOI: 10.1186/s12903-019-0961-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Accepted: 11/18/2019] [Indexed: 02/07/2023] Open
Abstract
Background Head and neck Synovial sarcoma (SS) accounts for 3–10% of all total body SS. It is rare to find it in the oral cavity, especially on the floor of the mouth. Case presentation We present a 44-year-old Chinese male, who had been misdiagnosed as fibroadenoma, with a swelling on the right submandibular region for more than 3 months. The radiology examinations and the pathology results indicate the diagnosis of SS of the floor of the mouth. The patient only had a surgical operation, without radiotherapy and chemotherapy. At the first follow-up, the patient exhibited no clinical or radiographic complications, and the patient was asymptomatic on subsequent visits. Conclusions Misdiagnosis results the delay of diagnosis and treatment of SS. Immunohistological analysis might be the most important tool to confirm the diagnosis of SS.
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Affiliation(s)
- Yannan Wang
- Department of Oral and Maxillofacial Surgery, The Second Xiangya Hospital of Central South University, Renmin Road, No 139, Changsha, 410011, Hunan, China
| | - Feiya Zhu
- Department of Oral and Maxillofacial Surgery, The Second Xiangya Hospital of Central South University, Renmin Road, No 139, Changsha, 410011, Hunan, China
| | - Kai Wang
- Department of Oral and Maxillofacial Surgery, The Second Xiangya Hospital of Central South University, Renmin Road, No 139, Changsha, 410011, Hunan, China.
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Barwad A, Phulware RH, Narwal A, Gupta V, Ramteke P. Not All the Spindle Cell Tumors in Oral Cavity Are Sarcomatoid Squamous Cell Carcinoma. Indian J Surg Oncol 2019; 11:127-130. [PMID: 32205980 DOI: 10.1007/s13193-019-00991-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Accepted: 09/25/2019] [Indexed: 10/25/2022] Open
Affiliation(s)
- Adarsh Barwad
- 1Department of Pathology, AIIMS, New Delhi-29, India
| | | | | | - Vineet Gupta
- 2Department of Medical Oncology, AIIMS, New Delhi-29, India
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Halily S, Ballage A, Ardhaoui H, Rouadi S, Abada R, Roubal M, Mahtar M, El Khiraoui H, Belhaj S, Marnissi F. Synovial sarcoma of the supraclavicular region causing a hemorrhagic shock. Clin Case Rep 2019; 7:2054-2058. [PMID: 31788250 PMCID: PMC6878071 DOI: 10.1002/ccr3.2270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Revised: 05/07/2019] [Accepted: 05/10/2019] [Indexed: 11/09/2022] Open
Abstract
A cystic mass that rapidly increases in volume in a dangerous anatomical region, notably the supraclavicular region, which contains important neurovascular elements, must be considered at high risk. A vascular study is mandatory before biopsy. Neoadjuvant chemotherapy can be a treatment option in high-risk synovial sarcoma.
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Affiliation(s)
- Sara Halily
- Otorhinolaryngology DepartmentCasablanca Teaching HospitalCasablancaMorocco
| | - Amine Ballage
- Otorhinolaryngology DepartmentCasablanca Teaching HospitalCasablancaMorocco
| | - Hamida Ardhaoui
- Otorhinolaryngology DepartmentCasablanca Teaching HospitalCasablancaMorocco
| | - Sami Rouadi
- Otorhinolaryngology DepartmentCasablanca Teaching HospitalCasablancaMorocco
| | - Redallah Abada
- Otorhinolaryngology DepartmentCasablanca Teaching HospitalCasablancaMorocco
| | - Mohamed Roubal
- Otorhinolaryngology DepartmentCasablanca Teaching HospitalCasablancaMorocco
| | - Mohamed Mahtar
- Otorhinolaryngology DepartmentCasablanca Teaching HospitalCasablancaMorocco
| | | | - Salwa Belhaj
- Pathology DepartmentCasablanca Teaching HospitalCasablancaMorocco
| | - Farida Marnissi
- Pathology DepartmentCasablanca Teaching HospitalCasablancaMorocco
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Synovial Sarcoma of Oral Cavity—a Rare Case Report. Indian J Surg Oncol 2017; 8:451-453. [DOI: 10.1007/s13193-017-0650-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2016] [Accepted: 03/22/2017] [Indexed: 11/26/2022] Open
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