Document Detail

Synovial sarcoma presenting as a parotid mass: case report and review of literature.
MedLine Citation:
PMID:  18327782     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Synovial sarcoma is an unusual neoplasm of mesenchymal derivation, which is uncommon in the head and neck sites. In the parotid gland, it is most likely to be misdiagnosed as a myoepithelial, primary mesenchymal, or metastatic neoplasm. METHODS: We report a case of synovial sarcoma in a young woman who was seen with temporomandibular joint symptoms with a 10-year history. A review of the literature was undertaken to highlight the radiologic and histologic features that help in diagnosis as well as the suggested therapeutic protocols most likely to ensure better survival. RESULTS: Radiologic and histologic studies of the parotid mass led to a diagnosis of synovial sarcoma. A total parotidectomy was performed, and the individual remains tumor free at 36 months. CONCLUSIONS: Review of the literature suggests an aggressive long-term outcome for synovial sarcoma and advocates early diagnosis and radical surgical excision for a favorable prognosis.
Amrita Jay; Iain Hutchison; Kim Piper; Paula M Farthing; Polly S Richards
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Head & neck     Volume:  30     ISSN:  1097-0347     ISO Abbreviation:  Head Neck     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-17     Completed Date:  2009-02-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8902541     Medline TA:  Head Neck     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1654-9     Citation Subset:  IM    
Copyright Information:
(c) 2008 Wiley Periodicals, Inc.
Department of Histopathology, Barts and The London NHS Trust, Whitechapel, London, United Kingdom.
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MeSH Terms
Parotid Neoplasms* / diagnosis,  surgery
Sarcoma, Synovial* / diagnosis,  surgery
Treatment Outcome

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