A Case Report of Synovial Sarcoma of the Face

우측 협부에 발생한 윤활막육종 증례보고

  • Heo, Jung (Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Lee, Keun Cheol (Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Park, Jung Min (Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Kim, Seok Kwun (Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Roh, Mee Sook (Department of Pathology, College of Medicine, Dong-A University) ;
  • Lee, Jin Hwa (Department of Diagnostic Radiology, College of Medicine, Dong-A University)
  • 허정 (동아대학교 의과대학 성형외과학교실) ;
  • 이근철 (동아대학교 의과대학 성형외과학교실) ;
  • 박정민 (동아대학교 의과대학 성형외과학교실) ;
  • 김석권 (동아대학교 의과대학 성형외과학교실) ;
  • 노미숙 (동아대학교 의과대학 병리과학교실) ;
  • 이진화 (동아대학교 의과대학 진단방사선과학교실)
  • Received : 2004.10.21
  • Published : 2005.11.10

Abstract

Synovial Sarcoma is the fourth most common sarcoma, accounting for 8-10 % of all sarcomas. Synovial sarcoma is highly malignant tumor of mesenchymal origin but rarely occurres in head and neck area. Less than 100 cases of synovial sarcoma occurring in head and neck area have been reported all over the world. Pathologically, there is two type of synovial sarcoma: monophasic variant is composed of only one cell type and "classic" (biphasic) synovial sarcoma has two cellular component, a spindle cell(fibrosarcoma-like) component and a pseudoepithelioma component. Recommended treatment is wide resection with negative margins. The role of chemotherapy and radiation therapy is controversial. We experienced a 42-year-old male patient with slowly enlarging, deep seated mass on right cheek. In the first operation, we suggested that the mass maybe benign tumor. But, initial excisional biopsy specimen of the primary lesion was consistent with synovial sarcoma. The final diagnosis was monophasic synovial sarcoma which was composed of spindle cells. Radical resection was performed two months later because remnant tumor was found on follow up MRI. No further treatment was done. There were no recurrence or metastasis on follow up MRI, chest CT and whole body bone scan after 15 months. This is a report of a rare case of synovial sarcoma of the face with a literature review.

Keywords

References

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