title: Synovial sarcoma of the head and neck.
abstract: Primary synovial sarcoma is an unusual tumor of the head and neck. Fewer than 75 cases have been reported in the literature. We have treated 7 additional cases; 3 in the hypopharynx, 2 in the parapharyngeal space, 1 in the oral pharynx and 1 in the posterior triangle of the neck. An enlarging cervical mass, voice change, and dysphagia were among the presenting complaints. CT revealed solitary nonhomogenous tumors from 3 to 7 cm in diameter. Microscopically, all cases showed a biphasic cellular pattern verified by immunohistochemical staining. Multimodality treatment consisted of surgery and postoperative radiation therapy with 3 patients receiving chemotherapy. Although the original pathology report was incorrect in 3 cases, clinical suspicion for synovial sarcoma ensured proper diagnosis.
authors.affiliation: Department of Otolarygnology-Head and Neck Surgery, New York Eye & Ear Infirmary, New York Medical College, New York.
authors.forename: R P
authors.initials: RP
authors.lastname: Bukachevsky
authors.forename: R L
authors.initials: RL
authors.lastname: Pincus
authors.forename: F G
authors.initials: FG
authors.lastname: Shechtman
authors.forename: E
authors.initials: E
authors.lastname: Sarti
authors.forename: P
authors.initials: P
authors.lastname: Chodosh
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000473:pathology* / Q000628:therapy; D006801:Humans; D008297:Male; D013584:Sarcoma, Synovial / Q000473:pathology* / Q000628:therapy