Synovial sarcoma arising from the hypopharynx: a case report

Yıl 2002, Cilt: 9 Sayı: 5, 372 - 375, 10.10.2002

Aslı Batur Çalış Çetin Vural Aras Şenvar Menekşe Bilge Bilgiç Misten Demiryont

Öz

Synovial sarcoma is a relatively rare soft tissue tumor.About 3 to 10% of cases arise in the head and neck, with the majority in the parapharyngeal region. We hereby report a 22-year-old male patient with synovial sarcoma confined to the hypopharynx. Treatment included wide surgical excision followed by radiotherapy. İt is of interest that the lesion recurred 12 years after the initial primary surgery for synovial sarcoma at the same site. The patient has been disease-free for five years.

Anahtar Kelimeler

Diagnosis, differential, hypopharyngeal neoplasms/pathology/surgery, recurrence, sarcoma, synovial/ pathology/surgery

Hipofarenksten kaynaklanan sinovyal sarkom: Olgu sunumu

Öz

Sinovyal sarkom yumuflak dokularda görülen nadir bir tümördür. Olguların %3-10’u bafl-boyun yerleflim- lidir, en sık parafarenjeal bölgede rastlanır. Bu yazı- da, hipofarenkse yerleflik sinovyal sarkom saptanan 22 yaflında bir erkek hasta sunuldu. Olgu genifl cer- rahi eksizyon ve radyoterapi ile tedavi edildi. Hasta- nın 12 yıl önce de aynı yerde görülen sinovyal sar- kom nedeniyle ameliyat edildiği öğrenildi. Halen ya- flamakta olan hastada befl yıldır tümör ve tedavisiy- le ilgili bir sorun görülmedi

Anahtar Kelimeler

Tanı, ayırıcı, hipofarenjeal neoplazmlar/patoloji/cerrahi, rekürens, sarkom, sinovyal/patoloji/cerrahi

Kaynakça

• Elo J, Bajtai A, Hidvegi J, Labas Z. Synovial sarcoma of the hypopharynx in an 11-year-old boy: treatment by partial supraglottic laryngopharyngectomy. Eur Arch Otorhinolaryngol 1993;249:499-502.
• Constantinidis J, Weber R, Draf W, Kind M, Velegrakis G, Skoulakis C. Synovialzellsarkome im Kopf- und Halsbereich. Laryngorhinootologie 1995;74:98-102.
• Carrillo R, Rodriguez-Peralto JL, Batsakis JG. Synovial s a rcomas of the head and neck. Ann Otol Rhinol Laryngol 1992;101:367-70.
• Soliman AM, Shikani AH. Pathologic quiz case 2. Synovial sarcoma of the hypopharynx. Arc h Otolaryngol Head Neck Surg 1995;121:1059, 1061-2.
• Gürsan Ö, Türk A. Synovial sarcoma in the hypophar- ynx and review of the literature. In: Sunar O. , Altuğ T, Devranoğlu İ, editors. Proceedings of the XV Wo r l d C o n g ress of ORL, Head and Neck Surgery; June 20-25, 1993; Istanbul, Tu r k e y. Essex: Multi Science Publishing; 1993. p. 1200-3.
• Duvall E, Small M, Al-Muhanna AH, Maran AD. Synovial sarcoma of the hypopharynx. J Laryngol Otol 1987;101:1203-8.
• Torre V, Cavallari V, Costa G, Bucolo S, Abbate G, Romano G, et al. Biphasic hypopharyngeal synovial s a rcoma: ultrastructural, cytofluorometric and immunohistochemical study and brief review of the literature. Acta Otorhinolaryngol Ital 2000;20:273-80. [Abstract]
• Rangheard AS, Vanel D, Viala J, Schwaab G, Casiraghi O, Sigal R. Synovial sarcomas of the head and neck: CT and MR imaging findings of eight patients. AJNR Am J Neuroradiol 2001;22:851-7.
• Fanney D, Castillo M, Lerner HH. Computed tomog- raphy of calcified synovial sarcoma of the hypophar- ynx. J Comput Assist Tomogr 1988;12:687-9.
• Dei Tos AP, Dal Cin P, Sciot R, Furlanetto A, Da Mosto MC, Giannini C, et al. Synovial sarcoma of the larynx and hypopharynx. Ann Otol Rhinol Laryngol 1998; 107:1080-5.
• Komisar A, Schetman F, DaSilva M, Ioachim H, Blaugrund SM. The histopathologic diagnosis of head and neck tumors by special stains. Ear Nose Throat J 1989;68:702, 705-6, 709-12.
• Kampe CE, Rosen G, Eilber F, Eckardt J, Lowenbraun S, Foster J, et al. Synovial sarcoma. A study of intensive chemotherapy in 14 patients with localized disease. Cancer 1993;72:2161-9.