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Synovial sarcoma of the head and neck: Rare case of cervical metastasis
Author(s) -
Ishiki Hiroto,
Miyajima Chie,
Nakao Kazunari,
Asakage Takahiro,
Sugasawa Masashi,
Motoi Toru
Publication year - 2009
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.20856
Subject(s) - medicine , synovial sarcoma , sarcoma , metastasis , neck dissection , neck mass , head and neck , tonsil , surgical margin , surgery , radiology , pathology , resection , cancer , carcinoma
Background. Synovial sarcoma is a rarely encountered soft tissue sarcoma. Surgery with a wide surgical margin is the treatment of choice. However, there is no consensus on the treatment of head and neck synovial sarcoma in patients with cervical metastasis. Methods. A 20‐year‐old man was seen with a palpable mass in the right neck. He had been diagnosed with synovial sarcoma of the right tonsil and treated by surgery 1 and a half years before; therefore, the mass detected was thought to be a cervical metastasis of synovial sarcoma. We performed a modified radical neck dissection with no postoperative treatment. The pathological diagnosis was confirmed by detecting the SS‐specific fusion gene SYT‐SSX1. Results. The patient remains free of recurrence or metastasis 2 years and 10 months after the surgery. Conclusions. We encountered a case of head and neck synovial sarcoma with cervical metastasis that was successfully treated. © 2008 Wiley Periodicals, Inc. Head Neck, 2009