Synovial Sarcoma of the Forearm: Diagnostic Pitfalls and Biological Reconstruction


Özger H., Tetik C., Alpan B.

Diagnosis and Treatment of Soft Tissue Tumors, HARZEM ÖZGER,FRAKNLIN H SIM,AJAY PURI,LEVENT ERALP, Editör, Springer Nature, Zug, ss.283-293, 2025

  • Yayın Türü: Kitapta Bölüm / Diğer
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1007/978-3-031-77061-6_29
  • Yayınevi: Springer Nature
  • Basıldığı Şehir: Zug
  • Sayfa Sayıları: ss.283-293
  • Editörler: HARZEM ÖZGER,FRAKNLIN H SIM,AJAY PURI,LEVENT ERALP, Editör
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

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.