Rekürren infratemporal fossa sinovyal sarkom eksizyonu

Yıl 2016, Cilt: 26 Sayı: 5, 293 - 299, 20.10.2016

Fakih Cihat Eravcı Mehmet Düzlü Mehmet Ekrem Zorlu Metin Yılmaz Mustafa Sancar Ataç

Öz

Sinovyal sarkom özellikle alt ekstremitelerde karşılaşılan yumuşak doku sarkomudur. İnfratemporal fossa oldukça nadir bir konumdur. Kapalı bir alan olması nedeniyle kombine yaklaşım ve multidisipliner planlama her zaman dikkate alınmalıdır. Bu olgu sıklıkla tekrarlamasına neden olan sinovyal sarkomun yüksek grade karakterini vurgulamaktadır. İnfratemporal fossada temiz cerrahi sınırın zorluğu, sinovyal sarkoma ikinci bir sıkıntılı sorun eklemektedir. Bu nedenle tamamlayıcı tedavi gereksinimi elzemdir. Bu olguda ameliyat sonrası radyoterapi uygulandı ve bir yıllık takipte lokal, bölgesel veya uzak metastaz izlenmedi. Bu yazıda, 68 yaşında bir erkek hastada mandibüler swing ve transzygomatik teknik ile total olarak eksize edilen infratemporal fossa sinovyal sarkom olgusu, önceki infratemporal fossa sinovyal sarkomların manifestasyonları, görüntüleme ve histopatolojik özellikleri ve ameliyat sonrası komplikasyon bilgileri ile birlikte sunuldu

Anahtar Kelimeler

İnfratemporal fossa, cerrahi yaklaşım, sinovyal sarkoma

Excision of recurrent synovial sarcoma of the infratemporal fossa

Öz

Synovial sarcoma is a soft tissue sarcoma especially encountered in the lower extremities. The infratemporal fossa is quite a rare location. Since it is a closed location, combined approaches and multidisciplinary planning always need to be considered. This case emphasizes the high-grade character of synovial sarcoma, which causes it to recur often. The difficulty of clear surgical margins in the infratemporal fossa adds to synovial sarcoma a second challenging issue. Therefore, the need of complementary therapy is essential. In this case, we applied postoperative radiotherapy and we did not observe any sign of local, regional or distant metastasis in the oneyear follow-up. In this article, we present a 68-year-old male patient together with totally excised synovial sarcoma in the infratemporal fossa by mandibular swing and transzygomatic technique information on the manifestation, imaging, histopathological features and postoperative complications of previous infratemporal fossa synovial sarcomas.

Anahtar Kelimeler

Infratemporal fossa, surgical approache, synovial sarcoma

Kaynakça

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