Rapid Progressive Synovial Sarcoma of Right Knee:  A Rare Case Presentation

Rhyan Darma Saputra; Dita Anggara Kusuma; Zeno Aquarista Baharano

doi:10.18502/ajs.v7i4.17465

Rhyan Darma Saputra Department of Orthopedic and Traumatology, Oncology Division, Dr Moewardi General Hospital, Surakarta, Indonesia,
Dita Anggara Kusuma Department of Orthopedic and Traumatology, Oncology Division, Dr Moewardi General Hospital, Surakarta, Indonesia,
Zeno Aquarista Baharano Department of Orthopedic and Traumatology, Oncology Division, Dr Moewardi General Hospital, Surakarta, Indonesia,

DOI: https://doi.org/10.18502/ajs.v7i4.17465

Keywords: Synovial sarcoma; Wide resection; Soft tissue tumor; Case report

Abstract

Background: Synovial sarcoma is a rare malignant soft tissue tumor that commonly emerges in the para-articular area, with the knee as the predominant location. The preferred intervention for this tumor is still currently debated

Case description: We presented a 29-year-old male with a very large mass in the right knee. The physical examination revealed impairment of the right lower extremities, particularly the knee. MRI confirmed the extent of the pathology, but the first pathology analysis was inconclusive. A wide resection was performed without prior neoadjuvant therapy. The second pathology analysis from the resected tissue confirmed the diagnosis of biphasic-type synovial sarcoma. The patient was able to walk with no assistance, had an increased range of motion, and the utmost preservation of the limb.

Conclusions: We presented a successful case of wide resection of synovial sarcoma with a promising clinical outcome. The complexity of the case leads to the need for a tailored approach that should be limited to musculoskeletal oncologists