CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2020; 41(02): 269-272
DOI: 10.4103/ijmpo.ijmpo_143_18
Practitioner Section

Synovial Sarcoma of Anterior Abdominal Wall

Sanjay Mhalasakant Khaladkar
Department of Radiodiagnosis, Dr. D. Y. Patil Medical College and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India
,
Akshay Mahadev Waghmode
Department of Radiodiagnosis, Dr. D. Y. Patil Medical College and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Primary synovial sarcoma arising in the anterior abdominal wall is rare and is a rare extra-articular tumor site. It should be considered in the differential diagnosis of anterior abdominal wall masses. It is a rare malignant mesenchymal tumor. It commonly occurs in adults in the extremities in close association with joint capsule, tendon sheaths, bursae and fascial structures. Synovial sarcoma is derived from multipotent stem cells, which can differentiate into mesenchyma and epithelial structures. Three subtypes are described histologically -biphasic, monophasic, and poorly differentiated synovial sarcoma. We report a case of a 40-year-old male patient presented with swelling over the anterior abdominal wall on the right side in the lower abdomen for 1 month which was rapidly increasing in size. An ultrasound followed by computed tomography and magnetic resonance imaging of the abdomen were performed for knowing the extent of the tumor. Immunohistochemistry was suggestive of monophasic synovial sarcoma.



Publication History

Received: 30 June 2018

Accepted: 12 September 2018

Article published online:
23 May 2021

© 2020. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Saif AH. Primary synovial sarcoma of the abdominal wall: A case report and review of the literature. J Family Community Med 2008; 15: 123-5
  • 2 de Haas RJ, Bonenkamp JJ, Flucke UE, de Rooy JW. Synovial sarcoma of the abdominal wall: Imaging findings and review of the literature. J Radiol Case Rep 2015; 9: 24-30
  • 3 Kritsaneepaiboon S, Sangkhathat S, Mitarnun W. Primary synovial sarcoma of the abdominal wall: A case report and literature review. J Radiol Case Rep 2015; 9: 47-52
  • 4 Kishino T, Morii T, Mochizuki K, Sudo E, Hirano K, Okazaki M. et al. Unusual sonographic appearance of synovial sarcoma of the anterior abdominal wall. J Clin Ultrasound 2009; 37: 233-5
  • 5 Karkera PJ, Kothari PR, Sandlas G. Synovial sarcoma of the abdominal wall: An unusual presentation. Clin Cancer Investig J 2013; 2: 53-6