Multimodality treatment consisting of surgery and postoperative radiation therapy was used to treat 7 cases of primary synovial sarcoma of the head and neck.
Case Report (n=7)
Primary synovial sarcoma of the head and neck is a rare tumor requiring multimodality treatment, and clinical suspicion is essential for accurate diagnosis.
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.
Bukachevsky et al. (Wed,) conducted a case report in Primary synovial sarcoma of the head and neck (n=7). Multimodality treatment (surgery and postoperative radiation therapy) was evaluated. Multimodality treatment consisting of surgery and postoperative radiation therapy was used to treat 7 cases of primary synovial sarcoma of the head and neck.