Abstract

Synovial sarcoma arises primarily in the lower extremities with a predilection for sites in proximity to large joints, such as the knee. It rarely occurs in the head and neck region, and the tonsil is an unusual site for the tumor, with only eight previously published cases in this anatomical site. 6–10 % of all soft tissue tumors, only 3–5 % arise in the head and neck region, and SS arising in the tonsil is a rare finding, with only eight well-documented cases reported in the English language literature. We describe the histopathological findings of a primary synovial sarcoma of the palatine tonsil arising in a 20-year-old male, with presentation of dysphagia and sleep disturbance.

Highlights

  • Synovial sarcomas are rare soft tissue sarcoma that primarily arise from the extremities, especially the lower thigh-knee region [1].It is a highly malignant soft tissue tumor, accounts for less than 1% of all head and neck malignant neoplasms [6].The literature has shown that this tumor can be found in unusual sites such as the abdominal wall and the head and neck region which are non synovium-lined spaces [1]. the head and neck are rare primary site for synovial sarcoma, only 3-5% of these neoplasms appear in this region [2]

  • This article is about a rare case of synovial sarcoma which originated in the left palatine tonsil

  • Among the rare and aggressive malignant neoplasms that occur in the head and neck, the soft tissue sarcomas represent about 1% of all head and neck cancers, and about 4% to 10% of all soft tissue sarcomas in adults

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Summary

Introduction

Synovial sarcomas are rare soft tissue sarcoma that primarily arise from the extremities, especially the lower thigh-knee region [1].It is a highly malignant soft tissue tumor, accounts for less than 1% of all head and neck malignant neoplasms [6].The literature has shown that this tumor can be found in unusual sites such as the abdominal wall and the head and neck region which are non synovium-lined spaces [1]. the head and neck are rare primary site for synovial sarcoma, only 3-5% of these neoplasms appear in this region [2]. It is a highly malignant soft tissue tumor, accounts for less than 1% of all head and neck malignant neoplasms [6]. The literature has shown that this tumor can be found in unusual sites such as the abdominal wall and the head and neck region which are non synovium-lined spaces [1].

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