A Case of Synovial Sarcoma Arising from the Infratemporal Fossa

측두하와에 발생한 활막 육종(Synovial Sarcoma) 1예

  • Noh Chee-Ho (Division of Oncology, Department of Internal Medicine, Catholic University College of Medicine) ;
  • Lee Myung-Ah (Division of Oncology, Department of Internal Medicine, Catholic University College of Medicine) ;
  • Kim Do-Young (Division of Oncology, Department of Internal Medicine, Catholic University College of Medicine) ;
  • Shin Dong-Il (Division of Oncology, Department of Internal Medicine, Catholic University College of Medicine) ;
  • Woo In-Sook (Division of Oncology, Department of Internal Medicine, Catholic University College of Medicine) ;
  • Hong Young-Seon (Division of Oncology, Department of Internal Medicine, Catholic University College of Medicine) ;
  • Lee Kyung-Shik (Division of Oncology, Department of Internal Medicine, Catholic University College of Medicine) ;
  • Kang Jin-Hyung (Division of Oncology, Department of Internal Medicine, Catholic University College of Medicine)
  • 노치호 (가톨릭대학교 의과대학 내과학교실) ;
  • 이명아 (가톨릭대학교 의과대학 내과학교실) ;
  • 김도영 (가톨릭대학교 의과대학 내과학교실) ;
  • 신동일 (가톨릭대학교 의과대학 내과학교실) ;
  • 우인숙 (가톨릭대학교 의과대학 내과학교실) ;
  • 홍영선 (가톨릭대학교 의과대학 내과학교실) ;
  • 이경식 (가톨릭대학교 의과대학 내과학교실) ;
  • 강진형 (가톨릭대학교 의과대학 내과학교실)
  • Published : 2003.11.01

Abstract

Synovial sarcoma is usually found near large joints and bursae of the extremities. Only 10% of all synovial sarcomas occur in the head and neck. The most common site affected in the head and neck is the hypopharynx, and very rare in the infratemporal fossa. Treatment of synovial sarcoma of the head and neck is difficult and must have multimodality which consists of operation, radiation and chemotherapy. Prognosis is associated with completeness of resection. We reported a case of synovial sarcoma arising from the infratemporal fossa, the first case in Korea, with review of literature.

Keywords

References

  1. Amble FR, Olsen KD, Nascimento AG, Foote RL : Head and neck synovial sarcoma. Otolaryngol Head Neck Surg. 1992 ; 107 :631-637 https://doi.org/10.1177/019459989210700504
  2. Pilch BZ, Cooper TL, Crissman JD, et al : Head and neck surgical pathology. Philadelphia, Lippincott Williams & Wilkins, 2001 : 618-662
  3. Duvall E, Small M, Al-Muhannan AH, Maran AD : Synovial sarcoma of the hypopharynx. J Laryngol Otol. 1987 ; 101 : 1203-1208 https://doi.org/10.1017/S0022215100103500
  4. Roberts CA, Seemayer TA, Neff JR, Alonso A, Nelson M, Bridge JA : Translocation (X ; 18) in primary sinovial sarcoma of the lung. Cancer Genet Cytogenet. 1996 ; 88 : 49-52 https://doi.org/10.1016/0165-4608(95)00298-7
  5. Jemstrom P : Synovial sarcoma of the pharynx: report of case. Am J Clin Pathol. 1954 ; 24 : 957-961 https://doi.org/10.1093/ajcp/24.8.957
  6. Baek CH, Roh JL, Ryu JS, Koh SJ : A case ofsynovial sarcoma arising in the hypopharynx. Korean J Otolaryngol. 1997 ; 40 (19) : 1361-1365
  7. Choi DY, Nam SY, Choi SM, Yoo SJ, Kim SY : Clinical study of sacroma in head and neck. Korean J Otolaryngol. 2001 ; 44 : 1321-1325
  8. Sturgis BM, Potter BO : Sarcomas of the head and neck region. Curr Opin Oncol. 2003 ; 15 (3) : 239-252 https://doi.org/10.1097/00001622-200305000-00011
  9. Rosario CA, Jose LR, Batsakis : Pathology consultation, synovial sarcomas of the head and neck. Ann Otol Rhinol Laryngol. 1992 ; 101 : 367-370 https://doi.org/10.1177/000348949210100415
  10. Bukachevsky RP, Pincus RL, Shechtman FG, Sarti E, Chodosh P : Synovial sarcoma of the head and neck. Head Neck. 1992 ; 14 (1) :44-48 https://doi.org/10.1002/hed.2880140110
  11. Dei TA, Dal CP, Sciot RF, Da MM, Rhinaldo AF : Synovial sarcoma of the larynx and hypopharynx. Ann Otology, Rhinology & Laryngology. 1998 ; 107 (12) : 1080-1085. https://doi.org/10.1177/000348949810701215
  12. de Leeuw B, Balemans M, Olde Weghuis D, Geurts van Kessel A : Identification of two alternative fusion genes, SYT-SSX1 and SYT-SSX2, in t (X ; I8) (p11.2 ; q11.2)-positive synovial sarcoma. Hum Mol Genet. 1995 ; 4 : 1097-1099
  13. Cihak RA, Lydiatt WM, Lydiatt DD, Bridge JA : Synovial sarcoma of the head and neck: chromosomal translocation (X ; 18) as a diagnostic aid. Head Neck. 1997 ; 19 (6) : 549-553 https://doi.org/10.1002/(SICI)1097-0347(199709)19:6<549::AID-HED14>3.0.CO;2-0
  14. Rangheard AS, Vanel D, Viala J, Schwaab G, Casiraghi O, Sigal R : Synovial sarcoma of the head and neck : CT andMR imaging findings of eight patients. AJNR Am J Neuroradiol. 2001 ; 22 (5) : 851-857
  15. Kartha SS, Bumpous JM : Synovial cell sarcoma: diagnosis, treatment, and outcomes. Laryngoscope. 2002 ; 112 (11) : 1979-1982 https://doi.org/10.1097/00005537-200211000-00013
  16. Tran LM, Mark R, Meier R, Calcaterra TC, Parker RG : Sarcomas of head and neck : prognostic factors and treatment strategies. Cancer. 1992 ; 70 : 169-177 https://doi.org/10.1002/1097-0142(19920701)70:1<169::AID-CNCR2820700127>3.0.CO;2-F
  17. Eeles RA, Fisher C, A'Hem RP, Robinson M, Rhys-Evans P : Head and neck sarcomas: prognostic factors and implications for treatment. Br J Cancer. 1993 ; 68 : 201-207 https://doi.org/10.1038/bjc.1993.314
  18. Batsakis JG : Tumars of the head and neck: Clinical and pathological considerations. Baltimore: Williams & Wilkins, 1979 : 357
  19. Lindberg RD, Martin RG, Romsdahl MM : Conservative surgery and postoperative radiotherapy in 300 adults with soft tissue sarcomas. Cancer. 1981 ; 47 : 2391-2397 https://doi.org/10.1002/1097-0142(19810515)47:10<2391::AID-CNCR2820471012>3.0.CO;2-B
  20. Moore DM, Berke GS : Synovial sarcoma of the head and neck. Arch Otolaryngol Head Neck Surg. 1987 ; 113 : 311-313 https://doi.org/10.1001/archotol.1987.01860030087015
  21. Sarcoma Meta-Analysis Collaboration: Adjuvant chemotherapy for localized resectable soft-tissue sarcoma of adults : Meta-analysis of individual data. Lancet. 1997 ; 350 : 1647-1654 https://doi.org/10.1016/S0140-6736(97)08165-8
  22. Spillane AJ, A'Hem R, Judson IR, Fisher C, Thomas JM : Synovial sarcoma : A clinicopathologic, staging, and prognostic assessment. J Cli Oncol. 2000 ; 18 (22) : 3794-3803 https://doi.org/10.1200/JCO.2000.18.22.3794
  23. Roth JA, Enzinger FM, Tannenbaum M : Synovial sarcoma of the neck : a follow-up study of 24 cases. Cancer. 1975 ; 35 : 1243-1253 https://doi.org/10.1002/1097-0142(197504)35:4<1243::AID-CNCR2820350432>3.0.CO;2-A