Narayan Raja R, Charville Greg W, Delitto Daniel, Ganjoo Kristen N
Surgery, Stanford University School of Medicine, Stanford, USA.
Pathology, Stanford University School of Medicine, Stanford, USA.
Cureus. 2022 Jun 26;14(6):e26356. doi: 10.7759/cureus.26356. eCollection 2022 Jun.
Synovial sarcoma usually presents in the lower extremities and metastasizes to the lungs; however, unusual patterns of recurrence can occur. For patients with recurrent synovial sarcoma to a proximal peripancreatic lymph node, a pancreaticoduodenectomy or Whipple procedure is the best option for a cure. Lymph node metastasis from synovial sarcoma is exceptionally rare, and data guiding the use of the Whipple procedure for curative resection of metastatic synovial sarcoma are even more sparse. In this report, we describe the management of a patient with metastatic synovial sarcoma to a proximal peripancreatic lymph node with a pancreaticoduodenectomy.
滑膜肉瘤通常发生于下肢并转移至肺部；然而，也可能出现不寻常的复发模式。对于复发性滑膜肉瘤转移至胰周近端淋巴结的患者，胰十二指肠切除术或惠普尔手术是实现治愈的最佳选择。滑膜肉瘤发生淋巴结转移极为罕见，而指导使用惠普尔手术对转移性滑膜肉瘤进行根治性切除的数据更为稀少。在本报告中，我们描述了一例通过胰十二指肠切除术治疗转移性滑膜肉瘤至胰周近端淋巴结患者的治疗过程。
