title: Biphasic synovial sarcoma of the extremity: quadruple approach of isolated limb perfusion, surgical ablation, adipofascial perforator flap and radiation to avoid amputation.
abstract: Synovial sarcoma is a rare type of soft tissue sarcoma that occurs mostly in young adults, and it is always regarded as a high-grade tumor. Here, we report the case of a 31-year-old German Caucasian male with synovial sarcoma of the wrist who was offered amputation at his local hospital. After referral to our Reference Centre for Soft Tissue Sarcoma, the quadruple approach of isolated limb perfusion, surgical ablation, adipofascial perforator flap and radiation avoided amputation and enabled preservation of good hand function with no evidence of recurrence or metastasis after 1 year.
authors.affiliation: Reference Centre for Soft Tissue Sarcoma, Department of Plastic Surgery, Ruhr University Bochum, Bochum, Germany.
authors.forename: Lars
authors.initials: L
authors.lastname: Steinstraesser
authors.forename: Reena
authors.initials: R
authors.lastname: Agarwal
authors.forename: Ingo
authors.initials: I
authors.lastname: Stricker
authors.forename: Hans-Ulrich
authors.initials: HU
authors.lastname: Steinau
authors.forename: Sammy
authors.initials: S
authors.lastname: Al-Benna