Karki Durga, Dash Suvashis, Muthukumar Vamseedharan
Department of Burns, Plastic and Maxillofacial Surgery, VM Medical College and Safdarjung Hospital, New Delhi, India.
Int J Appl Basic Med Res. 2019 Jul-Sep;9(3):176-178. doi: 10.4103/ijabmr.IJABMR_187_18.
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.
滑膜肉瘤是人体常见的软组织肿瘤之一，通常发生于下肢、头颈部。手掌部单相型滑膜肉瘤的报道较为罕见。它可能会给外科医生带来挑战，因为其表现类似其他病症。手掌部发生这种恶性肿瘤的病例极少。疼痛性手掌肿块是这种肉瘤变体的不寻常表现。术前的怀疑和有计划的手术方法为恰当的治疗奠定了基础。手部肿瘤极具挑战性，因为手术切除需要在切缘和手部功能之间取得平衡。这些病例因复发和转移较晚而声名狼藉。长期随访至关重要。我们报告一例手掌部单相型滑膜肉瘤的病例及其治疗和随访情况。
