Triple Local Recurrence of Synovial Sarcoma: A Case Report
Background: Synovial Sarcoma (SS) hardly appears on non-extremity sites (20% of cases). Even rarer is a local recurrence, which occurs between 10-30% of cases. Here, we present a rare case of hip Synovial Sarcoma, which recurs three times. Case Report: A 33-year-old male came to our outpatient clini...
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Universitas Airlangga
2023-10-01
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| Series: | Journal Orthopaedi and Traumatology Surabaya |
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| Online Access: | https://e-journal.unair.ac.id/JOINTS/article/view/49046 |
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| author | Mouli Edward Kukuh Ali Akbar |
| author_facet | Mouli Edward Kukuh Ali Akbar |
| author_sort | Mouli Edward |
| collection | DOAJ |
| description | Background: Synovial Sarcoma (SS) hardly appears on non-extremity sites (20% of cases). Even rarer is a local recurrence, which occurs between 10-30% of cases. Here, we present a rare case of hip Synovial Sarcoma, which recurs three times.
Case Report: A 33-year-old male came to our outpatient clinic with chief complaints of a sudden ingrowing mass on his left hip. The lump is the size of a chicken egg and doesn't get bigger over time. There was palpable tenderness felt whenever he touched the lump. The patient was diagnosed with SS of the left hip with IIB stage from additional radiographic and histopathologic examination. Surgical-wide resection had been done three years before the visit, and chemotherapy six times. The lump reappeared one year before the visit, and the patient underwent a second surgery. The mass re-surfaced within the same region on the current visit for the third time, and he underwent the same surgical treatment afterward. Two years after the third surgery and adjuvant chemotherapy, the patient had no complaint about a lump and planned a radiograph evaluation.
Discussion: Detailed examination from history taking, physical examination, histopathologic, and radiological results is important to determine appropriate staging. With proper staging, physicians can better understand disease prognosis and risk of recurrence or metastases.
Conclusions: The third recurrence may still happen on SS. Its unique location might contribute to this unique occurrence, and the size of the tumor makes the recurrence rate higher. |
| format | Article |
| id | doaj-art-aeacf189d34149efb7e168e8a911ce58 |
| institution | Kabale University |
| issn | 2722-712X 2460-8742 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Journal Orthopaedi and Traumatology Surabaya |
| spelling | doaj-art-aeacf189d34149efb7e168e8a911ce582025-02-12T07:27:30ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422023-10-01122838710.20473/joints.v12i2.2023.83-8747156Triple Local Recurrence of Synovial Sarcoma: A Case ReportMouli Edward0https://orcid.org/0000-0002-1667-9770Kukuh Ali Akbar1https://orcid.org/0009-0009-2885-2356Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya, Indonesia; Department of Orthopedic and Traumatology, St. Vincetius A. Paulo Catholic Hospital, Surabaya, IndonesiaDepartment of Orthopedic and Traumatology, Faculty of Medicine, Universitas Airlangga, SurabayaBackground: Synovial Sarcoma (SS) hardly appears on non-extremity sites (20% of cases). Even rarer is a local recurrence, which occurs between 10-30% of cases. Here, we present a rare case of hip Synovial Sarcoma, which recurs three times. Case Report: A 33-year-old male came to our outpatient clinic with chief complaints of a sudden ingrowing mass on his left hip. The lump is the size of a chicken egg and doesn't get bigger over time. There was palpable tenderness felt whenever he touched the lump. The patient was diagnosed with SS of the left hip with IIB stage from additional radiographic and histopathologic examination. Surgical-wide resection had been done three years before the visit, and chemotherapy six times. The lump reappeared one year before the visit, and the patient underwent a second surgery. The mass re-surfaced within the same region on the current visit for the third time, and he underwent the same surgical treatment afterward. Two years after the third surgery and adjuvant chemotherapy, the patient had no complaint about a lump and planned a radiograph evaluation. Discussion: Detailed examination from history taking, physical examination, histopathologic, and radiological results is important to determine appropriate staging. With proper staging, physicians can better understand disease prognosis and risk of recurrence or metastases. Conclusions: The third recurrence may still happen on SS. Its unique location might contribute to this unique occurrence, and the size of the tumor makes the recurrence rate higher.https://e-journal.unair.ac.id/JOINTS/article/view/49046synovial sarcomamalignancyrecurrencehuman and medicine |
| spellingShingle | Mouli Edward Kukuh Ali Akbar Triple Local Recurrence of Synovial Sarcoma: A Case Report Journal Orthopaedi and Traumatology Surabaya synovial sarcoma malignancy recurrence human and medicine |
| title | Triple Local Recurrence of Synovial Sarcoma: A Case Report |
| title_full | Triple Local Recurrence of Synovial Sarcoma: A Case Report |
| title_fullStr | Triple Local Recurrence of Synovial Sarcoma: A Case Report |
| title_full_unstemmed | Triple Local Recurrence of Synovial Sarcoma: A Case Report |
| title_short | Triple Local Recurrence of Synovial Sarcoma: A Case Report |
| title_sort | triple local recurrence of synovial sarcoma a case report |
| topic | synovial sarcoma malignancy recurrence human and medicine |
| url | https://e-journal.unair.ac.id/JOINTS/article/view/49046 |
| work_keys_str_mv | AT mouliedward triplelocalrecurrenceofsynovialsarcomaacasereport AT kukuhaliakbar triplelocalrecurrenceofsynovialsarcomaacasereport |