Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : July | Volume : 11 | Issue : 7 | Page : XD09 - XD11

Synovial Sarcoma of Palmar Aspect of Hand and Survival: A Rare Case Report

Tapan Kumar Sahoo, Ipsita Dhal, Saroj Kumar Das, Saroj Kumar Das Majumdar, Dillip Kumar Parida

1. Senior Resident, Department of Radiotherapy, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India. 2. Senior Resident, Department of Pathology, Lady Hardinge Medical College and Associated Hospital, New Delhi, India. 3. Senior Resident, Department of Radiotherapy, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India. 4. Assistant Professor, Department of Radiotherapy, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India. 5. Professor, Department of Radiotherapy, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Correspondence Address :
Dr. Saroj Kumar Das Majumdar,
Assistant Professor, Department of Radiotherapy, All India Institute of Medical Sciences, Bhubaneswar-751019, Odisha, India.
E-mail: sarojmajumdar@gmail.com

Abstract

Synovial sarcomas of the hand are extremely rare entities than most soft tissue sarcomas. The location at finger is further rarer than carpus of the hand. Synovial sarcoma of the hand/finger initially confused with many diagnoses such as myositis, haematoma, synovitis, tendonitis, bursitis, and other inflammatory lesions and therefore needs careful handling of the case with proper evaluation. We report a case of synovial sarcoma of the palmar surface of the right hand at interface of thumb and index finger in a 22-year-old female. The case was initially misdiagnosed as an abscess/haematoma of the finger 10 years back and treated with wide local excision. Synovial sarcoma was diagnosed on microscopic examination of excised specimen. Patient developed recurrent lesion twice locally. During first recurrence, the patient was treated with wide excision followed by radiotherapy and chemotherapy. Second recurrence was with bony destruction at the same site and below elbow amputation was performed.

Keywords

Amputation, Outcome, Recurrence., Wide excision

How to cite this article :

Tapan Kumar Sahoo, Ipsita Dhal, Saroj Kumar Das, Saroj Kumar Das Majumdar, Dillip Kumar Parida. SYNOVIAL SARCOMA OF PALMAR ASPECT OF HAND AND SURVIVAL: A RARE CASE REPORT. Journal of Clinical and Diagnostic Research [serial online] 2017 July [cited: 2017 Jul 21 ]; 11:XD09-XD11. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=July&volume=11&issue=7&page=XD09-XD11&id=10212

DOI and Others

DOI: 10.7860/JCDR/2017/25930.10212


Date of Submission: Dec 09, 2016
Date of Peer Review: Jan 31, 2017
Date of Acceptance: Apr 29, 2017
Date of Publishing: Jul 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

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