title: Giant subcutaneous synovial sarcoma: an interesting case.
abstract: A 45-year-old lady presented to us with a large subcutaneous swelling on her left side of back of 1 year duration. Local examination revealed a 13×12 cm spherical swelling on the left lower paraspinal region. Magnetic resonance imaging of lumbosacral spine revealed a 13×12 cm mass having solid and cystic components with internal septations in the subcutaneous tissue of left posterior paraspinal area. The mass was hetrogenously hyperintense on T 2 weighted images suggestive of synovial sarcoma. Wide local excision of the lump was carried out followed by closure of the defect with a lateral intercostal artery based rotational flap. The histopathology of the excised tumor revealed synovial sarcoma that stained positive for cytokeratin and epithelial membrane antigen. This case highlights an unusually large subcutaneous synovial sarcoma present in para-spinal area.
authors.affiliation: Assistant Professor, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi , Delhi, India .
authors.forename: Pankaj Kumar
authors.initials: PK
authors.lastname: Garg
authors.affiliation: Assistant Professor, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi , Delhi, India .
authors.forename: Debajyoti
authors.initials: D
authors.lastname: Mohnaty
authors.affiliation: Director Professor and Head, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi , Delhi, India .
authors.forename: Bhupendra Kumar
authors.initials: BK
authors.lastname: Jain
authors.affiliation: Post Graduate Resident, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi , Delhi, India .
authors.forename: Sunny
authors.initials: S
authors.lastname: Goel
authors.affiliation: SAG Pathologist, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi , Delhi, India .
authors.forename: Bharat
authors.initials: B
authors.lastname: Singh
keywords: Cytokerati; Malignant neoplasm; Soft tissue tumor; Synovial sarcoma