Alternative to Extra-Articular Resection in Synovial Sarcoma of the Knee

Özger H., ALPAN B.

Diagnosis and Treatment of Soft Tissue Tumors: Changes, Challenges and Strategies, Springer International Publishing Ag, ss.373-383, 2025 identifier

  • Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1007/978-3-031-77061-6_41
  • Yayınevi: Springer International Publishing Ag
  • Sayfa Sayıları: ss.373-383
  • Anahtar Kelimeler: Deformity, Extra-articular resection, Intra-articular tumor, Knee, Limb length discrepancy, Morbidity, Neoadjuvant treatment, Pediatric, Physeal plate, Radiotherapy, Soft tissue sarcoma, Synovial sarcoma, Wide resection
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

Synovial sarcoma (SS) is often located para-articularly and rarely can be encountered as an intra-articular tumor. The knee is a common site of involvement. It can be seen both before and after skeletal maturity. In this chapter, we present the case of a 10-year-old male patient who had undergone an unplanned resection for an intra-articular soft tissue neoplasm of the knee with a postoperative diagnosis of synovial sarcoma. While surgical margins were positive, no macroscopic residue was evident in imaging at presentation. The conventional course of action was considered as an extra-articular resection with tumor prosthesis reconstruction. An alternative strategy was sought to decrease the significant morbidity associated with extra-articular resection and to facilitate the preservation of the knee joint with margin-modifying adjuvant methods and surgical techniques.