Gresswell Steven D, Corsini Anthony A, Balsamo Luke H, Miles Edward F
School of Medicine, Uniformed Services University of Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
Mil Med. 2013 Aug;178(8):e956-62. doi: 10.7205/MILMED-D-13-00093.
A case of monophasic intra-articular synovial sarcoma in the right knee of a 39-year-old active duty serviceman treated with a transfemoral amputation is presented. The patient was evaluated for right knee pain and fullness. After further workup, the patient underwent computed tomography guided biopsy, with the tissue specimen consistent with intra-articular synovial sarcoma. The patient elected for a transfemoral amputation rather than limb or joint-sparing surgery. The gross specimen measured 3.5 × 3.0 × 1.7 cm in the posteromedial knee. No metastatic lesions were seen on positron emission tomography-computed tomography. Chemotherapy and radiation therapy have not been utilized. The transfemoral amputation adds to the uniqueness of this report and is discussed with a review of the multimodality treatment toward intra-articular synovial sarcoma in prior published literature.
本文报告了一例39岁现役军人右膝单相性关节内滑膜肉瘤，采用经股截肢术治疗。患者因右膝疼痛和肿胀接受评估。进一步检查后，患者接受了计算机断层扫描引导下的活检，组织标本符合关节内滑膜肉瘤。患者选择经股截肢而非保肢或保关节手术。大体标本位于膝关节后内侧，大小为3.5×3.0×1.7 cm。正电子发射断层扫描-计算机断层扫描未发现转移病灶。未采用化疗和放疗。经股截肢术增加了本报告的独特性，并结合既往发表文献中对关节内滑膜肉瘤的多模式治疗进行了讨论。
