Mascarenhas Luke, Villamaria Luke, Agarwal Rashmi, Ward Russell
Department of Orthopaedic Surgery, Baylor Scott and White Medical Center - Temple, Temple, Texas, USA.
Proc (Bayl Univ Med Cent). 2024 Dec 18;38(3):346-349. doi: 10.1080/08998280.2024.2435777. eCollection 2025.
Synovial sarcoma, a rare soft tissue malignancy, predominantly affects adolescents and young adults, with a predilection for extremities. We present the case of a 19-year-old woman with a rapidly growing left shoulder synovial sarcoma, initially managed with neoadjuvant chemotherapy to reduce tumor size. Subsequently, she underwent radical surgical resection, necessitating complex anatomical dissection due to tumor involvement extending into the coracoid and deltoid. Given limitations in current literature regarding reconstructive options for shoulder defects following sarcoma resection, the use of a pedicled pectoralis major flap demonstrates feasibility and functional outcomes.
滑膜肉瘤是一种罕见的软组织恶性肿瘤，主要影响青少年和年轻成年人，好发于四肢。我们报告一例19岁女性，患有快速生长的左肩部滑膜肉瘤，最初采用新辅助化疗以缩小肿瘤大小。随后，她接受了根治性手术切除，由于肿瘤累及喙突和三角肌，需要进行复杂的解剖分离。鉴于目前关于肉瘤切除术后肩部缺损重建选择的文献有限，带蒂胸大肌皮瓣的应用显示出可行性和功能效果。
