Open AccessSynovial sarcoma of palm masquerading as a neural tumor: A challenging differential diagnosis
Author(s) -
Durga Karki,
Suvashis Dash,
Vamseedharan Muthukumar
Publication year - 2019
Publication title -
international journal of applied and basic medical research/international journal of applied and basic medical research
Language(s) - English
Resource type - Journals
eISSN - 2248-9606
pISSN - 2229-516X
DOI - 10.4103/ijabmr.ijabmr_187_18
Subject(s) - synovial sarcoma , medicine , differential diagnosis , malignancy , palm , sarcoma , soft tissue sarcoma , surgical margin , presentation (obstetrics) , resection , radiology , surgery , pathology , physics , quantum mechanics
Synovial sarcoma is one of the common soft-tissue tumors of the body and is usually found on the lower extremity, head-and-neck regions. Reports of monophasic variant of synovial sarcoma in the palm are a rare entity. It can present as a challenge for the surgeons mimicking other conditions. Very few cases of this malignancy are reported in the palm. Painful palmar mass is an unusual presentation for this variant of sarcoma. Preoperative suspicion and planned surgical approach pave the way for the proper management. Neoplasm of the hand is very challenging, as it needs surgical resection balancing with resection margin and functionality of the hand. These cases are notorious for late recurrences and metastasis. Long-term follow-up is of utmost importance. We are reporting a case of palmar monophasic synovial sarcoma with its management and follow-up.