Chambers Lauren A, Lesher John M
Carolinas Rehabilitation, Charlotte, NC(∗).
Carolina Neurosurgery and Spine Associates, 9735 Kincey Ave, #300, Huntersville, NC 28078(†).
PM R. 2018 Sep;10(9):969-973. doi: 10.1016/j.pmrj.2017.12.009. Epub 2018 Jan 10.
Synovial sarcoma is a slow-growing, intermediate- to high-grade neoplasm with extensive metastatic potential. Accurate diagnosis of synovial sarcoma may pose a challenge to providers because of its indolent growth and variable presentation. The findings of a soft-tissue, periarticular mass with calcifications in a young patient are highly suggestive of synovial sarcoma. Although different imaging modalities can aid in the diagnosis of synovial sarcoma, diagnostic certainty is typically only confirmed by biopsy and histologic analysis. We present a case describing the diagnostic workup of synovial sarcoma with an emphasis on imaging findings in a patient with increasing symptomatology spanning more than a decade.
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滑膜肉瘤是一种生长缓慢、中高级别的肿瘤，具有广泛的转移潜能。由于其生长缓慢且表现多样，准确诊断滑膜肉瘤可能给医生带来挑战。年轻患者出现伴有钙化的软组织关节周围肿块，高度提示滑膜肉瘤。尽管不同的影像学检查方法有助于滑膜肉瘤的诊断，但通常只有通过活检和组织学分析才能确诊。我们报告一例滑膜肉瘤的诊断检查病例，重点介绍一名症状持续加重超过十年患者的影像学表现。
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