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  • Title: Synovial sarcoma of the head and neck: rare case of cervical metastasis.
    Author: Ishiki H, Miyajima C, Nakao K, Asakage T, Sugasawa M, Motoi T.
    Journal: Head Neck; 2009 Jan; 31(1):131-5. PubMed ID: 18642280.
    Abstract:
    BACKGROUND: Synovial sarcoma is a rarely encountered soft tissue sarcoma. Surgery with a wide surgical margin is the treatment of choice. However, there is no consensus on the treatment of head and neck synovial sarcoma in patients with cervical metastasis. METHODS: A 20-year-old man was seen with a palpable mass in the right neck. He had been diagnosed with synovial sarcoma of the right tonsil and treated by surgery 1 and a half years before; therefore, the mass detected was thought to be a cervical metastasis of synovial sarcoma. We performed a modified radical neck dissection with no postoperative treatment. The pathological diagnosis was confirmed by detecting the SS-specific fusion gene SYT-SSX1. RESULTS: The patient remains free of recurrence or metastasis 2 years and 10 months after the surgery. CONCLUSIONS: We encountered a case of head and neck synovial sarcoma with cervical metastasis that was successfully treated.
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