Key result
Surgical excision and regular follow-up remain critical for rare neck synovial sarcoma given poor prognosis.
Why the study?
Synovial sarcoma of the head and neck is rare, with fewer than 100 cases reported in the literature.
Synovial sarcoma of the head and neck is rare and requires surgical excision with regular follow-up for at least 3 years due to unpredictable biologic behavior.
Supports excision with ≥3-year follow-up in head-neck synovial sarcoma; hypothesis-generating for its unpredictable behavior and poor prognosis.
Synovial sarcoma is an uncommon neoplasm accounting between 8 and 10% of all soft tissue malignancies. Involvement of the head and neck region is rare. So far, fewer than 100 cases have been reported in the literature and only a few originated in the soft palate, tongue, larynx, hypopharynx, and cervical oesophagus. We report the case of a synovial sarcoma of the parapharyngeal space in a 72-year-old female, and experience in the behaviour and surgical treatment of this neoplasm is described. The patient has remained disease free for 28 months, with regular follow-up. Based upon this case and the others reported in the literature, synovial sarcoma does not have a good overall prognosis, and on account of its rarity and unpredictable biologic behaviour, surgical excision, and regular clinical and radiographic follow-up for at least 3 years are strongly recommended.
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F et al. (2003) studied this question. Surgical excision of synovial sarcoma of the neck followed by regular follow-up is recommended due to its rarity and poor overall prognosis.
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