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手部腕部滑膜肉瘤:病例报告及文献复习。

Synovial sarcoma of the hand-wrist: a case report and review of the literature.

机构信息

Department of Pathology, State University of New York - Upstate Medical University, 750 E. Adams St, Syracuse, NY, 13210, USA.

出版信息

J Med Case Rep. 2021 Jan 17;15(1):12. doi: 10.1186/s13256-020-02613-4.

DOI:10.1186/s13256-020-02613-4
PMID:33453728
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7811743/
Abstract

BACKGROUND

Synovial sarcomas are infrequent malignant tumors occurring mostly in adolescents and young adults. The occurrence of synovial sarcoma in the hand-wrist area is rare (4 to 8.5% of all synovial sarcomas in different studies).

CASE PRESENTATION

This report documents an uncommon case of synovial sarcoma occurring in the hand-wrist of a 69-year-old Caucasian woman. She was subsequently treated with surgical excision and radiotherapy without recurrence after follow up.

CONCLUSIONS

This paper aims to characterize the demographic, pathologic, and clinical features with a literature review. The present literature review confirms that hand-wrist synovial sarcomas are more frequent among males and subjects 10 to 40 years old. Most cases in this location are usually not larger than 5 cm in size. The five-year survival rate is higher than that reported in a previous review on hand synovial sarcomas, and this suggests an improved survival in recent decades.

摘要

背景

滑膜肉瘤是一种罕见的恶性肿瘤,主要发生在青少年和年轻成年人中。在手腕区域发生滑膜肉瘤的情况较为罕见(不同研究中约占滑膜肉瘤的 4%至 8.5%)。

病例介绍

本报告记录了一例罕见的发生在 69 岁白人女性手腕的滑膜肉瘤病例。患者随后接受了手术切除和放疗,随访后未复发。

结论

本文旨在通过文献回顾来描述其在人口统计学、病理学和临床特征方面的特征。目前的文献回顾证实,手腕滑膜肉瘤在男性和 10 至 40 岁的人群中更为常见。该部位的大多数病例通常不超过 5 厘米大小。五年生存率高于之前对手部滑膜肉瘤的综述报道,这表明近几十年来生存率有所提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89d/7811743/ef5ffcaf3fb7/13256_2020_2613_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89d/7811743/33d5dbb0ce0f/13256_2020_2613_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89d/7811743/34c72c982ce0/13256_2020_2613_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89d/7811743/5c7e62765de5/13256_2020_2613_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89d/7811743/ef5ffcaf3fb7/13256_2020_2613_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89d/7811743/33d5dbb0ce0f/13256_2020_2613_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89d/7811743/34c72c982ce0/13256_2020_2613_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89d/7811743/5c7e62765de5/13256_2020_2613_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89d/7811743/ef5ffcaf3fb7/13256_2020_2613_Fig4_HTML.jpg

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