Clinicopathologic Characteristics of Stomach Cancer among Patients Admitted to the Surgical Departments of Teaching Hospitals in Sana'a, Yemen

Waleed Gilan,Taha Boutage,Mohammed Al-Katta

doi:10.20428/yjms.11.1.a6

Abstract

Synovial Sarcoma is a rare malignancy. It presents in adolescents and young adults. It occurs in soft tissue of extremities usually near to the large joints, heart, lung, mediastinum, head and neck. A 23-year-old female presented with a big hard fixed swelling in right supraclavicular region for 15 years. X-Ray chest posterior-anterior view presented Homogenous opacity in upper lobe of right lung. USG of neck showed large heterogeneous lobulated almost avascular solid mass in right side of root of neck and anterior upper mediastinum may be associated with Schwannoma/ paraganglioma/soft tissue sarcoma. Spindle cell lesion was reported by FNAC. MRI showed large slightly lobulated mass along right side of root of neck and right side of superior mediastinum. A large soft tissue density mass along right side of neck and superior mediastinum was found in CT scan. Surgical excision was done successfully. Histopathological examination revealed spindle cell tumor favoring synovial sarcoma in the neck tissue and metastatic spindle cell tumor in the lung lesion.

Highlights

Synovial Sarcoma/ Malignant Synovioma is a rare form of cancer which is presents in adolescents and young adults, mainly occurs in soft tissue of extremities usually near to the large joints, heart, lung, mediastinum, head and neck
CASE PRESENTATION A 23-year-old female patient reported in the ENT – HNS Department of Anwer Khan Modern Medical College, Dhaka, with swelling in right supraclavicular region for 15 years which is gradually increasing in size, lobular in shape, 10 cm x 7 cm in size, hard in consistency, fixed, tender on palpation, and extend up to right superior mediastinum associated with mild respiratory distress and voice change for few days
USG of neck showed large heterogeneous lobulated almost avascular solid mass in right side of root of neck and anterior upper mediastinum may be associated with Schwannoma/paraganglioma/soft tissue sarcoma

Summary

Introduction

Synovial Sarcoma/ Malignant Synovioma is a rare form of cancer which is presents in adolescents and young adults, mainly occurs in soft tissue of extremities usually near to the large joints, heart, lung, mediastinum, head and neck. CASE PRESENTATION A 23-year-old female patient reported in the ENT – HNS Department of Anwer Khan Modern Medical College, Dhaka, with swelling in right supraclavicular region for 15 years which is gradually increasing in size, lobular in shape, 10 cm x 7 cm in size, hard in consistency, fixed, tender on palpation, and extend up to right superior mediastinum associated with mild respiratory distress and voice change for few days. X-Ray chest presented homogenous opacity in upper lobe of right lung. USG of neck showed large heterogeneous lobulated almost avascular solid mass in right side of root of neck and anterior upper mediastinum may be associated with Schwannoma/paraganglioma/soft tissue sarcoma. FNAC commented it as spindle cell lesion.

Results

Conclusion