Skip to main content
The Egyptian Journal of Otolaryngology
Download PDF

A rare pediatric malignant neck mass: Synovial sarcoma

The Egyptian Journal of Otolaryngology volume 32, pages 232–235 (2016)Cite this article

Abstract

Synovial sarcomas are rare soft tissue sarcomas that typically seen in the periarticular region and predominantly located in the extremities. It most commonly affects young adults of the second to fourth decade. Head and neck synovial sarcomas are uncommon and carry a poor prognosis. In the head and neck region, tumor is localized laterally in the parapharyngeal space often. The tumor can spread loco -regionally and systemically easily, so it makes management challenging. Herein, we report a case of a 12-year-old child with a synovial sarcoma located in the right parapharyngeal space of the neck. The lesion extended from parapharyngeal space to subglottic level of the neck and it fills the parapharyngeal space and compresses the major vascular, laryngeal and neural structures.

References

  1. Harb WJ, Luna MA, Patel SR, Ballo MT, Roberts DB, Sturgis EM. Survival in patients with synovial sarcoma of the head and neck: association with tumor location, size, and extension. Head Neck 2007; 29(8):731–740.

    Article  Google Scholar 

  2. Roth JA, Enzinger FM, Tannenbaum M. Synovial sarcoma of the neck: a followup study of 24 cases. Cancer 1975; 35(4):1243–1253.

    Article  CAS  Google Scholar 

  3. Alberty J, Dockhorn-Dworniczak B. Monophasic synovial sarcoma of the neck in an 8-year-old girl resembling a thyroglossal duct cyst. Int J Pediatr Otorhinolaryngol 2002; 63(1):61–65.

    Article  CAS  Google Scholar 

  4. Guadagnolo BA, Zagars GK, Ballo MT, Patel SR, Lewis VO, Pisters PW et al. Long-term outcomes for synovial sarcoma treated with conservation surgery and radiotherapy. Int J Radiat Oncol Biol Phys 2007; 69(4):1173–1180.

    Article  Google Scholar 

  5. Zhu M, Li J, Wang KJ, Shang JB. Primary synovial sarcoma of the parapharyngeal space: a clinicopathologic study of five cases. World J Surg Oncol 2012; 10: 158.

    Article  CAS  Google Scholar 

  6. Carrillo R, Rodriguez-Peralto JL, Batsakis JG. Synovial sarcomas of the head and neck. Ann Otol Rhinol Laryngol 1992; 101(4):367–370.

    Article  CAS  Google Scholar 

  7. Kartha SS, Bumpous JM. Synovial cell sarcoma: diagnosis, treatment, and outcomes. Laryngoscope 2002; 112(11):1979–1982.

    Article  Google Scholar 

  8. Cunningham MJ, Myers EN, Bluestone CD. Malignant tumors of the head and neck in children: a twenty-year review. Int J Pediatr Otorhinolaryngol 1987; 13(3):279–292.

    Article  CAS  Google Scholar 

  9. Vaid S, Vaid N, Desai S, Vaze V. Pediatric synovial sarcoma in the retropharyngeal space: a rare and unusual presentation. Case Rep Otolaryngol 2015; 2015: 587386.

    PubMed  PubMed Central  Google Scholar 

  10. Shaariyah MM, Mazita A, Masaany M, Razif MY, Isa MR, Asma A. Synovial sarcoma: a rare presentation of parapharyngeal mass. Chin J Cancer 2010; 29(6):631–633.

    Article  Google Scholar 

  11. Ferrari A, Bisogno G, Alaggio R, Cecchetto G, Collini P, Rosolen A et al. Synovial sarcoma of children and adolescents: the prognostic role of axial sites. Eur J Cancer 2008; 44 (9):1202–1209.

    Article  Google Scholar 

  12. Penel N, Mallet Y, Robin YM, Fournier C, Grosjean J, Ceugnart L et al. Prognostic factors for adult sarcomasof head and neck. Int J Oral Maxillofac Surg 2008; 37(5):428–432.

    Article  CAS  Google Scholar 

  13. Brennan B, Stevens M, Kelsey A, Stiller CA. Synovial sarcoma in childhood and adolescence: a retrospective series of 77 patients registered by the Children’s Cancer and Leukaemia Group between 1991 and 2006. Pediatr Blood Cancer 2010; 55(1):85–90.

    Article  Google Scholar 

  14. Stanelle EJ, Christison-Lagay ER, Healey JH, Singer S, Meyers PA, La Quaglia MP. Pediatric and adolescent synovial sarcoma: multivariate analysis of prognostic factors and survival outcomes. Ann Surg Oncol 2013; 20(1):73–79.

    Article  Google Scholar 

  15. Hanada T, Iwashita M, Matsuzaki T, Hanamure Y, Fukuda K, Furuta S. Synovial sarcoma in the parapharyngeal space: case report and review of the literature. Auris Nasus Larynx 1999; 26 (1):91–94.

    Article  CAS  Google Scholar 

  16. Farruggia P, D’Angelo P, Lo Cascio M, Solazzo L, Montemaggi P, Novara V et al. Synovial sarcoma of the neck in a child: a multidisciplinary approach. Pediatr Hematol Oncol 2008; 25 (5):431–437.

    Article  Google Scholar 

  17. Andrassy RJ, Okcu MF, Despa S, Raney RB. Synovial sarcoma in children: surgical lessons from a single institution and review of the literature. J Am Coll Surg 2001; 192(3):305–313.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Yunus Emre State Hospital, Otorhinolaryngology Clinic, Eskisehir, Turkey, 26190

    Alper Dilci

  2. Faculty of Medicine, Otorhinolaryngology Department, Gazi University, Ankara, Turkey

    Mehmet Duzlu & Metin Yilmaz

  3. Faculty of Medicine, Pediatric Surgery Department, Gazi University, Ankara, Turkey

    Ibrahim Onur Ozen

  4. Faculty of Medicine, Pediatric Oncology Department, Gazi University, Ankara, Turkey

    Faruk Guclu Pinarli

Authors
  1. Alper Dilci
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mehmet Duzlu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Metin Yilmaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ibrahim Onur Ozen
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Faruk Guclu Pinarli
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alper Dilci.

Additional information

Conflicts of interest

There are no conflicts of interest.

Rights and permissions

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work noncommercially, as long as the author is credited and the new creations are licensed under the identical terms.

To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dilci, A., Duzlu, M., Yilmaz, M. et al. A rare pediatric malignant neck mass: Synovial sarcoma. Egypt J Otolaryngol 32, 232–235 (2016). https://doi.org/10.4103/1012-5574.186537

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/1012-5574.186537

Keywords