Synovial Sarcoma of the Forearm: Diagnostic Pitfalls and Biological Reconstruction
in: Diagnosis and Treatment of Soft Tissue Tumors, HARZEM ÖZGER,FRAKNLIN H SIM,AJAY PURI,LEVENT ERALP, Editor, Springer Nature, Zug, pp.283-293, 2025
- Publication Type: Book Chapter / Chapter Other Book
- Publication Date: 2025
- Doi Number: 10.1007/978-3-031-77061-6_29
- Publisher: Springer Nature
- City: Zug
- Page Numbers: pp.283-293
- Editors: HARZEM ÖZGER,FRAKNLIN H SIM,AJAY PURI,LEVENT ERALP, Editor
- Acibadem Mehmet Ali Aydinlar University Affiliated: Yes
Abstract
Synovial sarcoma is a well-defined soft tissue neoplasm often seated in a deep extra-articular extremity location, and it can be seen in both the pediatric and adult populations. Most lesions are firmly attached to adjacent structures. The indolent behavior and well-circumscribed appearance are commonly misleading toward a benign clinical diagnosis. In most cases, the preoperative duration of symptoms ranges from 2 to 4 years. Adequate surgical excision is the primary treatment modality, while radiotherapy is an essential adjunct for improved local control. In this chapter, we present the case of a 13-year-old male patient with synovial sarcoma of the forearm, which had been radiologically followed up for years before presentation to our clinic, with the presumed diagnosis of a soft tissue hemangioma. The lesion involving the proximal ulna presented a significant challenge in terms of both an oncologically safe resection and achieving the best functional outcome.