Primary Synovial Sarcoma of the Scrotum

The report outlines a case of synovial sarcoma in the scrotal region. A 36-year-old male presented with a scrotal swelling. The lesion was completely resected, whereas the histopathologic examination revealed a spindle cell tumor. The tumor stained positive for pancytokeratin, AE1/AE3, epithelial me...

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Main Authors: Nourah Al-Oudah, Sara Alanazi, Sarah Saad Alotaibi, Nayef Alzahrani
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2023/7839846
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author Nourah Al-Oudah
Sara Alanazi
Sarah Saad Alotaibi
Nayef Alzahrani
author_facet Nourah Al-Oudah
Sara Alanazi
Sarah Saad Alotaibi
Nayef Alzahrani
author_sort Nourah Al-Oudah
collection DOAJ
description The report outlines a case of synovial sarcoma in the scrotal region. A 36-year-old male presented with a scrotal swelling. The lesion was completely resected, whereas the histopathologic examination revealed a spindle cell tumor. The tumor stained positive for pancytokeratin, AE1/AE3, epithelial membrane antigen (EMA), TLE-1, CD99, and BCL-2. The cytogenetic testing showed a chromosomal translocation in the SS18 gene at 18q11.2, consistent with the diagnosis of primary synovial sarcoma. A year later, the patient developed liver, vertebrae, and lung metastasis, which was treated with systemic chemotherapy. Treatment failed to improve the hepatic lesion that was then resected, while the spine and lung lesions were followed by radiotherapy. The patient is now alive and subject to an outstanding follow-up.
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spelling doaj.art-e9e3a04ba98049d785ad0fb2c5ac05492024-01-06T00:00:06ZengHindawi LimitedCase Reports in Pathology2090-679X2023-01-01202310.1155/2023/7839846Primary Synovial Sarcoma of the ScrotumNourah Al-Oudah0Sara Alanazi1Sarah Saad Alotaibi2Nayef Alzahrani3Department of Pathology and Laboratory MedicineDepartment of SurgeryDepartment of Pathology and Laboratory MedicineDepartment of Pathology and Laboratory MedicineThe report outlines a case of synovial sarcoma in the scrotal region. A 36-year-old male presented with a scrotal swelling. The lesion was completely resected, whereas the histopathologic examination revealed a spindle cell tumor. The tumor stained positive for pancytokeratin, AE1/AE3, epithelial membrane antigen (EMA), TLE-1, CD99, and BCL-2. The cytogenetic testing showed a chromosomal translocation in the SS18 gene at 18q11.2, consistent with the diagnosis of primary synovial sarcoma. A year later, the patient developed liver, vertebrae, and lung metastasis, which was treated with systemic chemotherapy. Treatment failed to improve the hepatic lesion that was then resected, while the spine and lung lesions were followed by radiotherapy. The patient is now alive and subject to an outstanding follow-up.http://dx.doi.org/10.1155/2023/7839846
spellingShingle Nourah Al-Oudah
Sara Alanazi
Sarah Saad Alotaibi
Nayef Alzahrani
Primary Synovial Sarcoma of the Scrotum
Case Reports in Pathology
title Primary Synovial Sarcoma of the Scrotum
title_full Primary Synovial Sarcoma of the Scrotum
title_fullStr Primary Synovial Sarcoma of the Scrotum
title_full_unstemmed Primary Synovial Sarcoma of the Scrotum
title_short Primary Synovial Sarcoma of the Scrotum
title_sort primary synovial sarcoma of the scrotum
url http://dx.doi.org/10.1155/2023/7839846
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AT saraalanazi primarysynovialsarcomaofthescrotum
AT sarahsaadalotaibi primarysynovialsarcomaofthescrotum
AT nayefalzahrani primarysynovialsarcomaofthescrotum