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01.12.2012 | Case report | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

Synovial sarcoma of the buttocks presenting with a non-healing wound and rapid progression after local resection: a case report

Zeitschrift:
World Journal of Surgical Oncology > Ausgabe 1/2012
Autoren:
Hai-Yan Zhang, Ye Feng, Zhuo Zhang, Ge Gao, Ji-Sheng Zhao
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-125) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

ZHY collected the clinical data and performed immunohistochemistry. FY and ZZ collected the clinical data. GG carried out the pathological analysis. ZJS drafted the manuscript. All authors read and approved the final manuscript.

Abstract

Synovial sarcoma is a malignant mesenchymal neoplasm that is frequently misdiagnosed as a benign condition because of its small size, slow growth, and well-delineated appearance. Rapid spread and early death occur rarely. Here we report a case of synovial sarcoma of the buttocks presenting with a non-healing wound and rapid progression after local resection in a 23-year-old woman. She initially found a slightly painful subcutaneous mass in the left buttock and underwent local excision. Postoperatively, she developed a non-healing wound that did not respond to conventional antibiotic therapy and local wound care, and pitting edema of the lower extremities. A magnetic resonance imaging scan revealed a large heterogeneous, irregular mass in the buttocks with regional lymph node involvement. Histological and immunohistochemical analyses suggested the diagnosis of a poorly differentiated synovial sarcoma. Her condition deteriorated dramatically shortly thereafter; she developed systemic edema and died of respiratory failure. This case suggests that synovial sarcoma may be fatal within months of recognition if improperly managed and stresses the importance of adequate pre-surgical evaluation and postoperative pathological analysis in the management of a subcutaneous mass.
Zusatzmaterial
Authors’ original file for figure 1
12957_2012_1008_MOESM1_ESM.pdf
Authors’ original file for figure 2
12957_2012_1008_MOESM2_ESM.pdf
Authors’ original file for figure 3
12957_2012_1008_MOESM3_ESM.pdf
Authors’ original file for figure 4
12957_2012_1008_MOESM4_ESM.pdf
Literatur
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