Synovial sarcoma with intra-abdominal metastasis causing hemoperitoneum: a case-report
Abstract Synovial sarcoma is a rare soft tissue sarcoma which frequently involves the upper or lower extremities. Soft tissue sarcomas including synovial sarcoma have a propensity to metastasize to the lungs, and there are very few reports of metastatic lesions in other locations. Here, we report a...
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Format: | Article |
Language: | English |
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BMC
2023-01-01
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Series: | World Journal of Surgical Oncology |
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Online Access: | https://doi.org/10.1186/s12957-023-02885-2 |
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author | Joshua J. Thompson Rachel A. Koch Vicki L. Keedy Deepa R. Magge |
author_facet | Joshua J. Thompson Rachel A. Koch Vicki L. Keedy Deepa R. Magge |
author_sort | Joshua J. Thompson |
collection | DOAJ |
description | Abstract Synovial sarcoma is a rare soft tissue sarcoma which frequently involves the upper or lower extremities. Soft tissue sarcomas including synovial sarcoma have a propensity to metastasize to the lungs, and there are very few reports of metastatic lesions in other locations. Here, we report a case of a 49-year-old patient who underwent neoadjuvant chemoradiation for an upper extremity synovial sarcoma and presented approximately 4 years later with abdominal pain and hemoperitoneum and was ultimately found to have metastatic synovial sarcoma involving the greater curvature of the stomach and surrounding peri-gastric soft tissue. We describe the multidisciplinary management of this complex patient presentation and propose that expanded surveillance imaging beyond that of the local tumor resection bed and the chest may be beneficial especially in tumors with high-risk features. |
first_indexed | 2024-04-10T17:18:36Z |
format | Article |
id | doaj.art-a35a19a5a7194bb1bee394029e155788 |
institution | Directory Open Access Journal |
issn | 1477-7819 |
language | English |
last_indexed | 2024-04-10T17:18:36Z |
publishDate | 2023-01-01 |
publisher | BMC |
record_format | Article |
series | World Journal of Surgical Oncology |
spelling | doaj.art-a35a19a5a7194bb1bee394029e1557882023-02-05T12:14:43ZengBMCWorld Journal of Surgical Oncology1477-78192023-01-012111610.1186/s12957-023-02885-2Synovial sarcoma with intra-abdominal metastasis causing hemoperitoneum: a case-reportJoshua J. Thompson0Rachel A. Koch1Vicki L. Keedy2Deepa R. Magge3Department of Surgery, Vanderbilt University Medical CenterDepartment of Surgery, Vanderbilt University Medical CenterVanderbilt-Ingram Cancer Center, Vanderbilt University Medical CenterDepartment of Surgery, Vanderbilt University Medical CenterAbstract Synovial sarcoma is a rare soft tissue sarcoma which frequently involves the upper or lower extremities. Soft tissue sarcomas including synovial sarcoma have a propensity to metastasize to the lungs, and there are very few reports of metastatic lesions in other locations. Here, we report a case of a 49-year-old patient who underwent neoadjuvant chemoradiation for an upper extremity synovial sarcoma and presented approximately 4 years later with abdominal pain and hemoperitoneum and was ultimately found to have metastatic synovial sarcoma involving the greater curvature of the stomach and surrounding peri-gastric soft tissue. We describe the multidisciplinary management of this complex patient presentation and propose that expanded surveillance imaging beyond that of the local tumor resection bed and the chest may be beneficial especially in tumors with high-risk features.https://doi.org/10.1186/s12957-023-02885-2Synovial sarcomaScreeningMetastasis |
spellingShingle | Joshua J. Thompson Rachel A. Koch Vicki L. Keedy Deepa R. Magge Synovial sarcoma with intra-abdominal metastasis causing hemoperitoneum: a case-report World Journal of Surgical Oncology Synovial sarcoma Screening Metastasis |
title | Synovial sarcoma with intra-abdominal metastasis causing hemoperitoneum: a case-report |
title_full | Synovial sarcoma with intra-abdominal metastasis causing hemoperitoneum: a case-report |
title_fullStr | Synovial sarcoma with intra-abdominal metastasis causing hemoperitoneum: a case-report |
title_full_unstemmed | Synovial sarcoma with intra-abdominal metastasis causing hemoperitoneum: a case-report |
title_short | Synovial sarcoma with intra-abdominal metastasis causing hemoperitoneum: a case-report |
title_sort | synovial sarcoma with intra abdominal metastasis causing hemoperitoneum a case report |
topic | Synovial sarcoma Screening Metastasis |
url | https://doi.org/10.1186/s12957-023-02885-2 |
work_keys_str_mv | AT joshuajthompson synovialsarcomawithintraabdominalmetastasiscausinghemoperitoneumacasereport AT rachelakoch synovialsarcomawithintraabdominalmetastasiscausinghemoperitoneumacasereport AT vickilkeedy synovialsarcomawithintraabdominalmetastasiscausinghemoperitoneumacasereport AT deeparmagge synovialsarcomawithintraabdominalmetastasiscausinghemoperitoneumacasereport |