Synovial sarcoma of the popliteal fossa

Soft tissue sarcomas are heterogeneous group of neoplasms making up to 1% of all malignant tumors in the adult population. The tumor generally appears on the extremities near large joints of middle-aged patients, especially in the popliteal fossa. Our patient presented in February 2014 due to a slow...

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Main Authors: Knežević Snežana B., Srećković Biljana R., Vulović Jelena A., Jandrić-Kočić Marijana S.
Format: Article
Language:English
Published: Institute of Oncology, Sremska Kamenica, Serbia 2022-01-01
Series:Archive of Oncology
Subjects:
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/0354-7310/2022/0354-73102201013K.pdf
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author Knežević Snežana B.
Srećković Biljana R.
Vulović Jelena A.
Jandrić-Kočić Marijana S.
author_facet Knežević Snežana B.
Srećković Biljana R.
Vulović Jelena A.
Jandrić-Kočić Marijana S.
author_sort Knežević Snežana B.
collection DOAJ
description Soft tissue sarcomas are heterogeneous group of neoplasms making up to 1% of all malignant tumors in the adult population. The tumor generally appears on the extremities near large joints of middle-aged patients, especially in the popliteal fossa. Our patient presented in February 2014 due to a slowly enlarging, darker-colored swelling in the left popliteal fossa. Upon physical examination, a somewhat nodular, immobile, tender subcutaneous mass was observed. There was no locoregional lymphadenopathy. Patohistological findings showed a high-grade primary malignant mesenchymal tumor, biphasic synovial sarcoma type. The patient underwent surgery with wide surgical excision, followed by radiotherapy treatment. Magnetic resonance imagining follow up after one year revealed tumor recurrence. Neurovascular bundle involvement was detected, but without adjacent bone and muscular invasion and above-the-knee partial amputation of the left leg was performed. The intervention resulted in a remission of the neoplastic process and the patient was scheduled for regular check-ups. Broad surgical resection of the tumor with negative margins was the primary treatment in this case. Mutilating operations are necessary when anatomical structures around the tumor do not allow complete reintervention.
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spelling doaj.art-1dda8e07ce8a46c8a865691affe5a2672022-12-21T20:31:04ZengInstitute of Oncology, Sremska Kamenica, SerbiaArchive of Oncology0354-73101450-95202022-01-01281131610.2298/AOO200915001K0354-73102201013KSynovial sarcoma of the popliteal fossaKnežević Snežana B.0https://orcid.org/0000-0001-9137-2122Srećković Biljana R.1Vulović Jelena A.2Jandrić-Kočić Marijana S.3Primary Health Center, Kraljevo, SerbiaPrimary Health Center, Kraljevo, SerbiaGeneral Hospital, Department for Anesthesiology and Reanimation, Paraćin, SerbiaPrimary Health Care Center, Krupa na Uni, Republika Srpska, Bosnia and HercegovinaSoft tissue sarcomas are heterogeneous group of neoplasms making up to 1% of all malignant tumors in the adult population. The tumor generally appears on the extremities near large joints of middle-aged patients, especially in the popliteal fossa. Our patient presented in February 2014 due to a slowly enlarging, darker-colored swelling in the left popliteal fossa. Upon physical examination, a somewhat nodular, immobile, tender subcutaneous mass was observed. There was no locoregional lymphadenopathy. Patohistological findings showed a high-grade primary malignant mesenchymal tumor, biphasic synovial sarcoma type. The patient underwent surgery with wide surgical excision, followed by radiotherapy treatment. Magnetic resonance imagining follow up after one year revealed tumor recurrence. Neurovascular bundle involvement was detected, but without adjacent bone and muscular invasion and above-the-knee partial amputation of the left leg was performed. The intervention resulted in a remission of the neoplastic process and the patient was scheduled for regular check-ups. Broad surgical resection of the tumor with negative margins was the primary treatment in this case. Mutilating operations are necessary when anatomical structures around the tumor do not allow complete reintervention.https://scindeks-clanci.ceon.rs/data/pdf/0354-7310/2022/0354-73102201013K.pdfsynovial sarcomakneeneoplasms
spellingShingle Knežević Snežana B.
Srećković Biljana R.
Vulović Jelena A.
Jandrić-Kočić Marijana S.
Synovial sarcoma of the popliteal fossa
Archive of Oncology
synovial sarcoma
knee
neoplasms
title Synovial sarcoma of the popliteal fossa
title_full Synovial sarcoma of the popliteal fossa
title_fullStr Synovial sarcoma of the popliteal fossa
title_full_unstemmed Synovial sarcoma of the popliteal fossa
title_short Synovial sarcoma of the popliteal fossa
title_sort synovial sarcoma of the popliteal fossa
topic synovial sarcoma
knee
neoplasms
url https://scindeks-clanci.ceon.rs/data/pdf/0354-7310/2022/0354-73102201013K.pdf
work_keys_str_mv AT knezevicsnezanab synovialsarcomaofthepoplitealfossa
AT sreckovicbiljanar synovialsarcomaofthepoplitealfossa
AT vulovicjelenaa synovialsarcomaofthepoplitealfossa
AT jandrickocicmarijanas synovialsarcomaofthepoplitealfossa