Metastatic synovial sarcoma of the scalp: Case report

Dylan C. Lippert, Christopher J. Britt, Zachary E. Pflum, Patrick S. Rush, Gregory K. Hartig

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background Synovial sarcoma is a malignant tumor of soft tissue that is rarely found in the head and neck. Even less common are metastasis within the head and neck. Methods We describe a case of a delayed metastatic synovial sarcoma to the scalp. A man who had been diagnosed and treated 16 years previously for monophasic synovial sarcoma of the groin, presented with a new scalp lesion confirmed to be metastatic monophasic synovial sarcoma. Wide local excision and sentinel lymph node biopsy (SLNB) were performed and adjuvant radiation therapy was deferred. Results A positron emission tomography (PET)/CT was obtained 3 months after surgery and showed no evidence of local recurrence or metastatic disease. Conclusion This case report describes a rare case of synovial sarcoma metastasizing to the scalp. The genetic, histopathologic, and clinical features of synovial sarcoma are reviewed with a focus on their manifestation and management within the head and neck.

Original languageEnglish (US)
Pages (from-to)E45-E48
JournalHead and Neck
Volume38
Issue number2
DOIs
StatePublished - Feb 1 2016
Externally publishedYes

Keywords

  • head and neck neoplasm
  • metastatic
  • monophasic
  • scalp
  • synovial sarcoma

ASJC Scopus subject areas

  • Otorhinolaryngology

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