Synovial sarcoma of the head and neck.

Head Neck

Department of Otolarygnology-Head and Neck Surgery, New York Eye & Ear Infirmary, New York Medical College, New York.

Published: August 1992

AI Article Synopsis

  • Primary synovial sarcoma is a rare tumor found in the head and neck, with fewer than 75 cases previously documented, including 7 new cases treated by the authors.
  • The patients presented with symptoms like an enlarging mass in the neck, voice changes, and difficulty swallowing, and imaging showed unique, nonhomogeneous tumors ranging from 3 to 7 cm.
  • Treatment included surgery and postoperative radiation, with some patients receiving chemotherapy, and accurate diagnoses were achieved despite initial pathology errors due to clinical awareness.

Article Abstract

Primary synovial sarcoma is an unusual tumor of the head and neck. Fewer than 75 cases have been reported in the literature. We have treated 7 additional cases; 3 in the hypopharynx, 2 in the parapharyngeal space, 1 in the oral pharynx and 1 in the posterior triangle of the neck. An enlarging cervical mass, voice change, and dysphagia were among the presenting complaints. CT revealed solitary nonhomogenous tumors from 3 to 7 cm in diameter. Microscopically, all cases showed a biphasic cellular pattern verified by immunohistochemical staining. Multimodality treatment consisted of surgery and postoperative radiation therapy with 3 patients receiving chemotherapy. Although the original pathology report was incorrect in 3 cases, clinical suspicion for synovial sarcoma ensured proper diagnosis.

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Source
http://dx.doi.org/10.1002/hed.2880140110DOI Listing

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