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Synovial sarcoma presenting as a parotid mass: Case report and review of literature
Author(s) -
Jay Amrita,
Hutchison Iain,
Piper Kim,
Farthing Paula M.,
Richards Polly S.
Publication year - 2008
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.20822
Subject(s) - medicine , synovial sarcoma , head and neck , parotidectomy , sarcoma , parotid gland , neoplasm , myoepithelial cell , neck mass , pathology , radiology , surgery , immunohistochemistry
Background Synovial sarcoma is an unusual neoplasm of mesenchymal derivation, which is uncommon in the head and neck sites. In the parotid gland, it is most likely to be misdiagnosed as a myoepithelial, primary mesenchymal, or metastatic neoplasm. Methods We report a case of synovial sarcoma in a young woman who was seen with temporomandibular joint symptoms with a 10‐year history. A review of the literature was undertaken to highlight the radiologic and histologic features that help in diagnosis as well as the suggested therapeutic protocols most likely to ensure better survival. Results Radiologic and histologic studies of the parotid mass led to a diagnosis of synovial sarcoma. A total parotidectomy was performed, and the individual remains tumor free at 36months. Conclusions Review of the literature suggests an aggressive long‐term outcome for synovial sarcoma and advocates early diagnosis and radical surgical excision for a favorable prognosis. © 2008 Wiley Periodicals, Inc. Head Neck, 2008