title: [A case of synovial sarcoma with brain metastasis treated with surgical resection and stereotactic radiosurgery].
abstract: Synovial sarcomas compromise between 5 to 10% of all soft tissue sarcomas in adults. Synovial sarcoma commonly occurs in the vicinity of the large joints and cranial metastasis is rare. Here, we describe a case with intracranial metastases of a synovial sarcoma. A 41-year-old woman was admitted to our department with sensory aphasia. She had a history of a left inguinal synovial sarcoma and underwent surgery and chemotherapy for primary and metastatic lesions. Head MRI revealed three gadolinium-enhancing lesions in the left frontal, parietal and parietotemporal lobe. Gross total resection was achieved in the left parietotemporal lesion and pathological diagnosis was synovial sarcoma. Two weeks after surgery, she received cyber-knife radiosurgery and her neurological deficit was almost completely resolved. Intracranial metastatic synovial sarcoma is rare. Surgical resection and stereotaxic radiosurgery was very effective in the present case.
authors: Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences., Japan.
authors: Yoshihiro
authors: Y
authors: Otani
authors: Tomotsugu
authors: T
authors: Ichikawa
authors: Kazuhiko
authors: K
authors: Kurozumi
authors: Hiroyuki
authors: H
authors: Yanai
authors: Toshiyuki
authors: T
authors: Kunisada
authors: Toshifumi
authors: T
authors: Ozaki
authors: Isao
authors: I
authors: Date
mesh_terms: D000328:Adult; D001932:Brain Neoplasms / Q000556:secondary / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D016634:Radiosurgery / Q000379:methods*; D013584:Sarcoma, Synovial / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome