Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 6 Issue 6

Intraarticular Synovial Sarcoma of Knee Treated with wide Local Excision and Arthrodesis- A Case Report and Follow Up of 4 Years

Ashish Rustagi1, Akshay MK2* and Bhupender Khatri2

1Associate Professor, Department of Orthopaedic, Central Institute of Orthopaedic, VMMC and Safdarjang Hospital, New Delhi, India
2Senior Resident, Department of Orthopaedic, Central Institute of Orthopaedic, VMMC and Safdarjung Hospital, New Delhi, India

*Corresponding Author: Akshay MK, Senior Resident, Department of Orthopaedic, Central Institute of Orthopaedic, VMMC and Safdarjung Hospital, New Delhi, India.

Received: April 14, 2023; Published: May 24, 2023

Abstract

Intra-articular Synovial sarcoma is rare and is morphologically distinct as compared to extra articular involvement. The periarticular synovial sarcomas can secondarily spread to the joint capsules. The occurrence of synovial sarcoma originating from an intraarticular location is considered to be rare.Discussion: This case report describes a patient of 34 year female diagnosed with Monophasic Intranodular synovial sarcoma of the left knee. She presented with complains of Pain, swelling, slight discomfort and inability to fully flex left knee which gradually increased over around 2 years. After Staging and biopsy the tumor was managed by wide location excision and arthrodesis using intramedullary nail with augmentation plate and followed up for 4 years for any local or systemic recurrence and also discusses the treatment options based on a review of the prior literature. Conclusion: We conclude that Intra-articular synovial sarcoma are rare and require multidisciplinary approach and interdepartmental correlation for effective management and dedicated orthopedic specialist. Orthopedic surgeons must keep a high suspicion for dealing with lesions of unknown etiology and should have a low threshold for seeking an opinion of musculoskeletal oncologist to assist in concluding appropriate differential diagnosis before intervention. These precautions can prevent complications and improve patient survival rates.

Keywords:Periarticular Synovial Sarcoma; Intra-Articular Synovial Sarcoma; Limb Reconstruction After Resection; Monophasic and Biphasic Synovial Sarcoma; Malignant Neoplasm Management; Synovial Sarcoma Four Year Follow-Up

References

  1. Kransdorf MJ. “Malignant soft-tissue tumors in a large referral population: distribution of diagnoses by age, sex, and location”. AJR American Journal of Roentgenology 1 (1995): 129-134.
  2. Friedman MV., et al. “Intra-articular synovial sarcoma”. Skeletal Radiology 6 (2013): 859-867.
  3. Weiss S and Goldblum J. “Enzinger and Weiss’s soft tissue tumors”. Amsterdam, NL: Elsevier (2008).
  4. Bui-Mansfield LT and O’Brien SD. “Magnetic resonance appearance of intra-articular synovial sarcoma: case reports and review of the literature”. Journal of Computer Assisted Tomography 4 (2008): 640-644.
  5. Kransdorf MJ., et al. “Soft-tissue masses: diagnosis using MR imaging”. AJR American Journal of Roentgenology 3 (1989): 541-547.
  6. Spillane AJ., et al. “Synovial sarcoma: a clinicopathologic, staging, and prognostic assessment”. Journal of Clinical Oncology 22 (2000): 3794-3803.
  7. Murphey MD., et al. “From the archives of the AFIP: imaging of synovial sarcoma with radiologic-pathologic correlation”. Radiographics 5 (2006): 1543-1565.
  8. Capanna R., et al. “Surgical technique: extraarticular knee resection with prosthesis-proximal tibia-extensor apparatus allograft for tumors invading the knee”. Clinical Orthopaedics and Related Research 10 (2011): 2905-2914.
  9. Bergovec M., et al. “Intraarticular synovial sarcoma of the knee rising from a lateral meniscus - a case report”. Orthopaedics and Traumatology: Surgery and Research 2 (2018): 227-230.

Citation

Citation: Akshay MK., et al. “Intraarticular Synovial Sarcoma of Knee Treated with wide Local Excision and Arthrodesis- A Case Report and Follow Up of 4 Years”.Acta Scientific Orthopaedics 6.6 (2023): 73-77.

Copyright

Copyright: © 2023 Akshay MK., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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