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Synovial sarcoma of the ethmoidal sinus

Published online by Cambridge University Press:  02 October 2014

H-T Wong ,
C-Y Ho ,
A R Nazarina  and
N Prepageran
H-T Wong*
Affiliation:
Department of Otorhinolaryngology, University of Malaya, Kuala Lumpur, Malaysia
C-Y Ho
Affiliation:
Department of Pathology, University of Malaya, Kuala Lumpur, Malaysia
A R Nazarina
Affiliation:
Department of Pathology, University of Malaya, Kuala Lumpur, Malaysia
N Prepageran
Affiliation:
Department of Otorhinolaryngology, University of Malaya, Kuala Lumpur, Malaysia
*
Address for correspondence: Dr Wong Hui Tong, Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia Fax: 00 66 3 7955 6963 E-mail: whtong83@gmail.com
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Abstract

Background:

Synovial sarcoma is a high-grade, soft tissue, malignant disease associated with poor outcome. Typically, synovial sarcoma involves the extremities, with less than 10 per cent of cases occurring in the head and neck region. Synovial sarcoma of the paranasal sinuses is a rare entity. This paper presents a case of an elderly patient with synovial sarcoma of the ethmoidal sinus.

Case report:

An 80-year-old woman who had right epistaxis underwent nasal endoscopy and biopsy. The pathology indicated synovial sarcoma and the patient underwent endoscopic excision of the tumour.

Conclusion:

Synovial sarcoma of the ethmoidal sinus is very rare. Patients should undergo excision of the tumour with post-operative radiotherapy. However, the prognosis remains poor and usually the patient succumbs to death within a year.

Keywords

Sarcoma, SynovialParanasal Sinuses
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 11 , November 2014 , pp. 1022 - 1023
Copyright
Copyright © JLO (1984) Limited 2014 

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