Sarcoma

Synovial Sarcoma

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Synovial Sarcoma, Synoviosarcoma

  • See Also
  1. Soft Tissue Mass
  • Definitions
  1. Synovial Sarcoma
    1. Slow growing, malignant lesion originating in the joints and synovial cells of tendons and bones
    2. Most often affects the legs (but can also involve abdominal wall and other torso Muscles)
  • Epidemiology
  1. Peak onset age 30 to 40 years old
  • Findings
  1. Slow growing lesion, typically on the legs or trunk, from 3 to 10 cm in diameter
  • Imaging
  1. XRay
    1. Calcifications may be present (33% of cases)
    2. Bony erosions in up to 20% of cases
  2. Ultrasound
    1. Heterogeneous mass with interspersed necrosis
  3. MRI
    1. Well demarcated mass with similar isointensity to Muscle on T1
  • Management
  1. Refer for core needle biopsy and surgical resection
  • References
  1. Achar (2022) Am Fam Physician 105(6): 602-12 [PubMed]