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滑膜肉瘤:具有良性临床特征的恶性软组织肉瘤——病例报告

Synovial Sarcoma: Malignant Soft Tissue Sarcoma With Benign Clinical Characteristics-A Case Report.

作者信息

Lodhia Jay, Msuya David, Tadayo Joshua, Mremi Alex

机构信息

Department of General Surgery, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.

Faculty of Medicine, KCMC University, Moshi, Tanzania.

出版信息

Case Rep Pathol. 2025 Sep 1;2025:9585628. doi: 10.1155/crip/9585628. eCollection 2025.

DOI:10.1155/crip/9585628
PMID:40927430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12417059/
Abstract

Synovial sarcomas are rare malignant soft tissue tumors with significant metastatic potential. Although they can occur in various parts of the body, they are most commonly found on the extremities. These tumors typically develop in children and young adults, making occurrences in individuals over 50 years of age unusual. Due to their slow-growing and nonpainful nature, synovial sarcomas can often be mistaken for benign pathologies. The standard treatment involves complete surgical excision with negative margins, which offers a favorable 5-year prognosis. This case highlights the importance of early recognition and intervention in managing soft tissue sarcomas. In this case report, we present a 57-year-old African male with a 2-year history of gradual, nonpainful swelling on his left hand, diagnosed as synovial sarcoma. The patient was successfully treated with complete surgical excision.

摘要

滑膜肉瘤是一种罕见的恶性软组织肿瘤,具有显著的转移潜能。尽管它们可发生于身体的各个部位,但最常见于四肢。这些肿瘤通常在儿童和年轻人中发生,50岁以上个体出现这种肿瘤的情况并不常见。由于其生长缓慢且无痛的特性,滑膜肉瘤常常会被误诊为良性病变。标准治疗方法是进行切缘阴性的完整手术切除,其5年预后良好。本病例强调了早期识别和干预在软组织肉瘤治疗中的重要性。在本病例报告中,我们介绍了一名57岁的非洲男性,他左手逐渐出现无痛性肿胀已有2年,被诊断为滑膜肉瘤。该患者通过完整手术切除获得了成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b9/12417059/c83351a249c4/CRIPA2025-9585628.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b9/12417059/a2708fecac47/CRIPA2025-9585628.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b9/12417059/3972501c6ebd/CRIPA2025-9585628.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b9/12417059/faba195149c8/CRIPA2025-9585628.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b9/12417059/f6ca4f432478/CRIPA2025-9585628.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b9/12417059/c83351a249c4/CRIPA2025-9585628.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b9/12417059/a2708fecac47/CRIPA2025-9585628.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b9/12417059/3972501c6ebd/CRIPA2025-9585628.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b9/12417059/faba195149c8/CRIPA2025-9585628.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b9/12417059/f6ca4f432478/CRIPA2025-9585628.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b9/12417059/c83351a249c4/CRIPA2025-9585628.005.jpg

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本文引用的文献

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Synovial sarcoma of the dorsal aspect of the hand: a case report.手部背侧滑膜肉瘤 1 例报告。
J Med Case Rep. 2024 Mar 15;18(1):156. doi: 10.1186/s13256-024-04469-4.
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Synovial Sarcoma in the Extremity: Diversity of Imaging Features for Diagnosis and Prognosis.肢体滑膜肉瘤:用于诊断和预后的影像特征多样性
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Hemi-Resection of Carpal and Extensor Resection Reconstructed With Wrist Joint Arthrodesis and Palmaris Longus Tendon Graft for Synovial Sarcoma on the Dorsal Side of the Wrist: A Case Report.腕关节融合术及掌长肌腱移植重建腕骨半切除和伸肌切除治疗腕背侧滑膜肉瘤:1例报告
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