Authors: | Ishiki, H.; Miyajima, C.; Nakao, K.; Asakage, T.; Sugasawa, M.; Motoi, T. |
Article Title: | Synovial sarcoma of the head and neck: Rare case of cervical metastasis |
Abstract: | Background. Synovial sarcoma is a rarely encountered soft tissue sarcoma. Surgery with a wide surgical margin is the treatment of choice. However, there is no consensus on the treatment of head and neck synovial sarcoma in patients with cervical metastasis. Methods. A 20-year-old man was seen with a palpable mass in the right neck. He had been diagnosed with synovial sarcoma of the right tonsil and treated by surgery 1 and a half years before; therefore, the mass detected was thought to be a cervical metastasis of synovial sarcoma. We performed a modified radical neck dissection with no postoperative treatment. The pathological diagnosis was confirmed by detecting the SS-specific fusion gene SYT-SSX1. Results. The patient remains free of recurrence or metastasis 2 years and 10 months after the surgery. Conclusions. We encountered a case of head and neck sy-novial sarcoma with cervical metastasis that was successfully treated. © 2008 Wiley Periodicals, Inc. |
Keywords: | immunohistochemistry; adult; human tissue; young adult; histopathology; case report; neck dissection; follow up; cancer diagnosis; cell proliferation; metastasis; computer assisted tomography; differential diagnosis; tumor markers, biological; tomography, x-ray computed; odynophagia; head and neck neoplasms; oncogene proteins, fusion; outpatient department; hospital admission; physical examination; synovial sarcoma; sarcoma, synovial; aspiration biopsy; head and neck tumor; sternocleidomastoid muscle; tonsillectomy; cytogenetic analysis; tonsillar neoplasms |
Journal Title: | Head & Neck |
Volume: | 31 |
Issue: | 1 |
ISSN: | 1043-3074 |
Publisher: | John Wiley & Sons, Inc. |
Date Published: | 2009-01-01 |
Start Page: | 131 |
End Page: | 135 |
Language: | English |
DOI: | 10.1002/hed.20856 |
PUBMED: | 18642280 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | --- - "Cited By (since 1996): 4" - "Export Date: 30 November 2010" - "CODEN: HEANE" - "Source: Scopus" |