TY  - JOUR
T1  - Biphasic synovial sarcoma: A rare cause of axillary mass
TT  - Aksiller kitlenin nadir bir nedeni; Bifazik sinovyal sarkom
AU  - Demirli Atıcı, Semra
AU  - Yeşilyurt, Değercan
AU  - Dikmeer, Emre
AU  - Salimoğlu, Semra
AU  - Ayaz, Duygu
AU  - Aydın, Cengiz
PY  - 2019
DA  - July
DO  - 10.28982/josam.538808
JF  - Journal of Surgery and Medicine
JO  - J Surg Med
PB  - Selçuk BAŞAK
WT  - DergiPark
SN  - 2602-2079
SP  - 533
EP  - 535
VL  - 3
IS  - 7
LA  - en
AB  - Synovial sarcoma is a subtype of soft tissue sarcoma which mostly affects the lower extremities, especially in young adults. Axillary involvement of the synovial sarcoma is a rarely seen clinical condition. A 68-year-old female applied with a rapidly grown palpable 4x4cm conglomerated mass in her right axilla. Except for the palpable axillary mass, her physical examination was regular. She was scanned for any distant metastasis with thoracoabdominal computerized tomography and breast ultrasonography with mammography. Tru-cut biopsy was performed on the palpable conglomerated axillary mass, and the pathological examination of the tru-cut biopsy specimen was reported as biphasic malignancy. In order to obtain a detailed examination and definite diagnosis, the mass was dissected and resected from axilla with extensive resection. Postoperative pathological examination was reported as a biphasic SS, and the surgical margins were clear. During the post-operative period, the patient had adjuvant chemoradiotherapy. There was no tumor relapse, both clinically and radiologically fourteen months after the surgery. Elder patients presenting with axillary lymphadenopathy, atypical, rare synovial sarcoma should be kept in mind. Total surgical excision should be performed, and clear margins should be obtained for the treatment of localized synovial sarcoma of the axilla.
KW  - Synovial sarcoma
KW  - Lymphadenopathy
KW  - Breast cancer
N2  - Sinovyal sarkom sıklıkla genç erişkinlerde görülen, alt ekstremiteleri etkileyen bir yumuşak doku sarkomudur. Sinovyal sarkomun aksilla tutulumu çok nadir görülen bir klinik durumdur. 68 yaşında kadın hasta sağ aksillada ele gelen, hızlı büyüyen, konglomere, yaklaşık 4x4 cm çapında kitle yakınması ile başvurdu. Yapılan fizik muayenesinde aksiller kitle dışında ek bir özellik yoktu. Hasta torako-abdominal bilgisayarlı tomografi, meme ultasonu ve mammografi ile metastaz ve primer odak açısından araştırıldı. Tru cut biyopsi ile palpabl aksiller kitleden örnekleme yapıldı. Patolojisi bifazik malign kitle uyumlu gelen hastaya tanısal amaçlı eksizyonel biyospi yapıldı. Kitle sağlam cerrahi sınırlarla eksize edildi. Postoperatif kitle patolojisi bifazik sinovyal sarkom olarak raporlandı. Hastaya postoperatif adjuvant kemo-radyoterapi verildi. İzlem 14. ayında olan hastada klinik, radyolojik olarak nüks saptanmadı. Aksiller lenfadenopati ile başvuran ileri yaşta hastalarda sinovyal sarkom akılda tutulmalı, tedavisinde sağlam cerrahi sınırla eksizyon yapılmalıdır.
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UR  - https://doi.org/10.28982/josam.538808
L1  - https://dergipark.org.tr/en/download/article-file/765140
ER  -