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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Main Authors: Joshua J. Thompson, Rachel A. Koch, Vicki L. Keedy, Deepa R. Magge
Format: Article
Language:English
Published: BMC 2023-01-01
Series:World Journal of Surgical Oncology
Subjects:
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.
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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
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AT vickilkeedy synovialsarcomawithintraabdominalmetastasiscausinghemoperitoneumacasereport
AT deeparmagge synovialsarcomawithintraabdominalmetastasiscausinghemoperitoneumacasereport