Key result
Extensive resection of rare intraneural tibial nerve synovial sarcoma successfully preserves the limb.
Case Report (n=1)
Reports the first successful limb preservation in a patient with tibial nerve-derived synovial sarcoma.
Limb preservation may be feasible in tibial nerve synovial sarcoma; adds the 40th intraneural case but leaves optimal management open.
Synovial sarcomas are malignant soft tissue tumors that carry a metastatic potential and portend poor prognoses. We report a very rare synovial sarcoma arising from the tibial nerve and describe its successful treatment including limb preservation. To the best of our knowledge, this is the 40th reported incident of intraneural synovial sarcoma, and only the fourth arising from the tibial nerve. Extensive resection of synovial sarcoma arising in the popliteal region is difficult, particularly when limb preservation is desired. Ours is the first reported patient treated for tibial nerve-derived synovial sarcoma whose limbs were preserved.
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Hashimoto et al. (2018) conducted a case report in Intraneural synovial sarcoma of the tibial nerve (n=1). Extensive resection with limb preservation was evaluated on Successful treatment including limb preservation. Extensive resection of a rare intraneural synovial sarcoma of the tibial nerve was successfully performed with limb preservation.
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