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  • Title: The early clinical presentation of synovial sarcoma.
    Author: Ichinose H, Wickstrom JK, Hoerner HE, Derbes VL.
    Journal: Clin Orthop Relat Res; 1979; (142):185-9. PubMed ID: 227635.
    Abstract:
    While synovial sarcoma most commonly presents as a painless mass, occasionally the cancer emerges in a misleading manner resulting in an unfavorable delay or error in diagnosis. A review of the litrature reveals 4 such occult patterns: pretumor phase characterized only by pain or tenderness; the acute inflammatory lesion presenting as a "hot" arthritis or bursitis; the chronic contracture; the post traumatic tumor. These conditions, especially when otherwise unaccounted for, are indications for biopsy. Four avoidable pitfalls in biopsy management also emerged from the review.
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