Synovial sarcoma of the hand-wrist: a case report and review of the literature

Abstract

Background Synovial sarcomas are infrequent malignant tumors occurring mostly in adolescents and young adults. The occurrence of synovial sarcoma in the hand-wrist area is rare (4 to 8.5% of all synovial sarcomas in different studies). Case presentation This report documents an uncommon case of synovial sarcoma occurring in the hand-wrist of a 69-year-old Caucasian woman. She was subsequently treated with surgical excision and radiotherapy without recurrence after follow up. Conclusions This paper aims to characterize the demographic, pathologic, and clinical features with a literature review. The present literature review confirms that hand-wrist synovial sarcomas are more frequent among males and subjects 10 to 40 years old. Most cases in this location are usually not larger than 5 cm in size. The five-year survival rate is higher than that reported in a previous review on hand synovial sarcomas, and this suggests an improved survival in recent decades.

Synovial Sarcoma in the Right Thigh of a 25-Year-Old Male: A Case Report

“…Our case of the 25-year-old male with synovial sarcoma of the right thigh offers a few similitudes and differences with the case detailed by Serinelli et al of a 69-year-old Caucasian female with a dorsal ulnar-sided left hand wrist mass [ 8 ]. Both cases incorporate the diagnosis and surgical treatment of synovial sarcoma, an exceptional and aggressive soft tissue tumor.…”

“…In both events, the patients experienced wide surgical excision of the mass to ensure the whole evacuation of the tumor. Besides, the case of the 69-year-old female utilized advanced demonstrative strategies, such as immunohistochemical staining and fluorescence in situ hybridization (FISH) for SS18 (SYT) gene improvement, to certify the diagnosis of synovial sarcoma [ 8 ].…”

An Unusual Case of Calcific Periarthritis Causing Carpal Tunnel Syndrome and Its Management with Ultrasound-Guided Barbotage

“… 13 The latter can be seen with malunited fractures of the distal radius. 13 Neoplasms, particularly synovial sarcoma, which can present as a calcified mass, should also be considered, 14 and when suspected based on preliminary imaging and clinical history, should be investigated further with magnetic resonance imaging prior to attempting any intervention.…”

Soft tissue sarcomas of the hand and foot: characteristics of progression and main surgical approaches

“…опубликовали первую серию случаев [4]. На сегодняшний день в литературе представлены ретроспективные серии случаев [5][6][7][8][9][10][11][12][13][14] и отчеты о единичных клинических случаях [15][16][17][18][19][20][21][22][23][24][25][26][27], поэтому сложно оценить частоту развития местных рецидивов, отдаленного метастазирования и показатели общей выживаемости (ОВ) после различного объема лечения у пациентов с СМТ кисти и стопы, а также определить оптимальный объем хирургического вмешательства для данной группы больных.…”