Synovial sarcoma: a rare presentation of parapharyngeal mass.
Synovial sarcoma is a rare soft tissue sarcoma of the head and neck region involving the parapharyngeal space. The diagnosis of synovial sarcoma can be very challenging to the pathologists. We present a rare case of parapharyngeal synovial sarcoma in a young female patient who had a two-month history of left cervical intumescent mass at level II. The fine needle aspiration cytology of the mass was proved inconclusive. Transcervical excision of the mass was performed and the first case of parapharyngeal sarcoma was identified in our center by fluorescence in situ hybridization (FISH) technique. Repeat imaging revealed residual tumor. The patient successfully underwent a second excision of the residual tumor and received adjuvant radiotherapy.
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Jalan Yaacub Latif, Bandar Tun Razak, Kuala Lumpur, Universiti Kebangsaan Malaysia, Malaysia.
Mohd Mokhtar
MM
Shaariyah
Ami
A
Mazita
Mansor
M
Masaany
Mohd Yunus
MY
Razif
Mohamed Rose
MR
Isa
Abdullah
A
Asma
D000328:Adult; D044963:Biopsy, Fine-Needle; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D017404:In Situ Hybridization, Fluorescence; D018365:Neoplasm, Residual; D010610:Pharyngeal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D013584:Sarcoma, Synovial / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D014057:Tomography, X-Ray Computed