A case of primary tarsal sinus synovial sarcoma

Abstract Background Primary intra-articular synovial sarcoma is a rare condition that is frequently misdiagnosed due to its indolent growth pattern and similarity to other common joint disorders. Case presentation A 48-year-old Chinese woman presented with a 3-year history of recurrent pain and limi...

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Main Authors: Zhang Ye, Cui Zixing, Lv Xiaojun, Yang Ningning, Shi Qifeng
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Diagnostic Pathology
Subjects:
Online Access:https://doi.org/10.1186/s13000-025-01674-7
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author Zhang Ye
Cui Zixing
Lv Xiaojun
Yang Ningning
Shi Qifeng
author_facet Zhang Ye
Cui Zixing
Lv Xiaojun
Yang Ningning
Shi Qifeng
author_sort Zhang Ye
collection DOAJ
description Abstract Background Primary intra-articular synovial sarcoma is a rare condition that is frequently misdiagnosed due to its indolent growth pattern and similarity to other common joint disorders. Case presentation A 48-year-old Chinese woman presented with a 3-year history of recurrent pain and limited mobility in her left ankle. She had previously been misdiagnosed with conditions such as ankle sprain, synovitis, or tarsal sinus syndrome. After undergoing arthroscopic synovectomy, pathological examination confirmed the diagnosis of synovial sarcoma. Conclusion Primary intra-articular synovial sarcoma is an exceedingly rare and often misdiagnosed condition. It’s slow growth and clinical overlap with other joint pathologies contribute to diagnostic challenges. Accurate diagnosis relies on comprehensive evaluation, particularly when clinical manifestations deviate from typical presentations. A high index of suspicion and thorough pathological assessment are essential for timely and accurate diagnosis.
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institution Kabale University
issn 1746-1596
language English
publishDate 2025-07-01
publisher BMC
record_format Article
series Diagnostic Pathology
spelling doaj-art-ea4c5af6828741b0a6847a68bf4d4c432025-08-20T03:37:19ZengBMCDiagnostic Pathology1746-15962025-07-012011710.1186/s13000-025-01674-7A case of primary tarsal sinus synovial sarcomaZhang Ye0Cui Zixing1Lv Xiaojun2Yang Ningning3Shi Qifeng4Pathology Department, Wuxi Xishan People’s HospitalLaboratory Department, Wuxi Xishan People’s HospitalPathology Department, Wuxi Xishan People’s HospitalPathology Department, Wuxi Xishan People’s HospitalPathology Department, Wuxi Xishan People’s HospitalAbstract Background Primary intra-articular synovial sarcoma is a rare condition that is frequently misdiagnosed due to its indolent growth pattern and similarity to other common joint disorders. Case presentation A 48-year-old Chinese woman presented with a 3-year history of recurrent pain and limited mobility in her left ankle. She had previously been misdiagnosed with conditions such as ankle sprain, synovitis, or tarsal sinus syndrome. After undergoing arthroscopic synovectomy, pathological examination confirmed the diagnosis of synovial sarcoma. Conclusion Primary intra-articular synovial sarcoma is an exceedingly rare and often misdiagnosed condition. It’s slow growth and clinical overlap with other joint pathologies contribute to diagnostic challenges. Accurate diagnosis relies on comprehensive evaluation, particularly when clinical manifestations deviate from typical presentations. A high index of suspicion and thorough pathological assessment are essential for timely and accurate diagnosis.https://doi.org/10.1186/s13000-025-01674-7Synovial sarcomaTarsal sinusIntra-articular
spellingShingle Zhang Ye
Cui Zixing
Lv Xiaojun
Yang Ningning
Shi Qifeng
A case of primary tarsal sinus synovial sarcoma
Diagnostic Pathology
Synovial sarcoma
Tarsal sinus
Intra-articular
title A case of primary tarsal sinus synovial sarcoma
title_full A case of primary tarsal sinus synovial sarcoma
title_fullStr A case of primary tarsal sinus synovial sarcoma
title_full_unstemmed A case of primary tarsal sinus synovial sarcoma
title_short A case of primary tarsal sinus synovial sarcoma
title_sort case of primary tarsal sinus synovial sarcoma
topic Synovial sarcoma
Tarsal sinus
Intra-articular
url https://doi.org/10.1186/s13000-025-01674-7
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