Underlying synovial sarcoma undiagnosed for more than 20 years in a patient with regional pain: a case report.

IF 1.9 3区 医学 Q2 ORTHOPEDICS Skeletal Radiology Pub Date : 2026-01-01 Epub Date: 2024-05-10 DOI:10.1007/s00256-024-04701-8
Hiroshi Hatano, Tetsuro Yamagishi, Kazuhito Yanabashi, Akira Ogose
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Abstract

Synovial sarcoma (SS) is a malignant tumor comprising 5-10% of all soft tissue sarcomas. SS has distinct characteristics, such as a predilection for young adults and relatively slow growth compared to other soft tissue sarcomas. Some patients with SS experience long-standing pain at the tumor site before the development of a palpable mass. Herein, we report the case of a 39-year-old woman with SS in the upper arm who presented with pain for > 20 years. The tumor detected on magnetic resonance imaging at 17 years was an SS. To the best of our knowledge, no English-language reports on imaging study-based identification of SS, which was undiagnosed for > 20 years, are known in the literature. This report discusses the imaging features of this latent lesion and the volume-doubling time of this unusual tumor.

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一名区域性疼痛患者 20 多年未确诊的滑膜肉瘤:病例报告。
滑膜肉瘤(SS)是一种恶性肿瘤,占所有软组织肉瘤的 5-10%。与其他软组织肉瘤相比,滑膜肉瘤具有明显的特征,如好发于青壮年,生长相对缓慢。一些 SS 患者在出现可触及的肿块之前,肿瘤部位会出现长期疼痛。在此,我们报告了一例 39 岁女性上臂 SS 患者的病例,患者疼痛超过 20 年。17 年前,她在磁共振成像中发现肿瘤为 SS。据我们所知,目前还没有基于影像学检查发现 SS 的英文文献报道,而该患者在 20 多年前就已被诊断为 SS。本报告讨论了这种潜伏病变的影像学特征以及这种不寻常肿瘤的体积倍增时间。
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来源期刊
Skeletal Radiology
Skeletal Radiology 医学-核医学
CiteScore
4.40
自引率
9.50%
发文量
253
审稿时长
3-8 weeks
期刊介绍: Skeletal Radiology provides a forum for the dissemination of current knowledge and information dealing with disorders of the musculoskeletal system including the spine. While emphasizing the radiological aspects of the many varied skeletal abnormalities, the journal also adopts an interdisciplinary approach, reflecting the membership of the International Skeletal Society. Thus, the anatomical, pathological, physiological, clinical, metabolic and epidemiological aspects of the many entities affecting the skeleton receive appropriate consideration. This is the Journal of the International Skeletal Society and the Official Journal of the Society of Skeletal Radiology and the Australasian Musculoskelelal Imaging Group.
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