Radiologists must recognize the often nonaggressive imaging appearance of synovial sarcoma in children to prevent delayed diagnosis.
Nonaggressive imaging in pediatric synovial sarcoma warrants early biopsy consideration; leaves open prospective validation of diagnostic thresholds.
OBJECTIVE: Synovial sarcoma is the most common malignant nonrhabdomyosarcoma soft-tissue sarcoma in children. This article shows examples of synovial sarcoma in children and corresponding examples of benign mimics. CONCLUSION: It is important for radiologists to recognize the often nonaggressive appearance of synovial sarcoma in the pediatric population to guide surgical resection and expedite diagnosis before the development of locoregional spread or metastatic disease.
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Bixby et al. (2010) studied this question.
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