Synovial sarcoma in the prevertebral space can mimic malignant neurogenic neoplasm: Case report and literature review

• Published in: Radiology case reports 2023-11, Vol.18 (11), p.4195-4201
• Main Authors: Guo, Yi, Lin, Chong, Li, Xiao-xia, Zhou, Jian-jun, Wang, Jian
• Format: Article
• Language: English
• Subjects: Case Report; Imaging; Oncology; Synovial sarcoma; The retropharyngeal space
• ISSN: 1930-0433; 1930-0433
• DOI: 10.1016/j.radcr.2023.08.106

Synovial sarcoma, a rare malignant neoplasm with a poor prognosis, accounts for approximately 5%-10% of all primary soft-tissue malignancies worldwide. Typically affecting adolescents and young adults, it primarily manifests near the joints of the lower extremities. This study aimed to demonstrate that this tumor can also affect the prevertebral space. A 32-year-old male patient presented at our outpatient clinic with a 2-month history of upper limb numbness and a 1-month complaint of palpable neck mass. Imaging studies revealed a bulky, lobulated, and heterogeneous mass exhibiting heterogeneous enhancement. Furthermore, the mass caused expansion of the neuroforamen in the neck, initially suggesting a diagnosis of malignant schwannoma. However, a histopathologic examination suggested synovial sarcoma. The article provided a comprehensive review of the clinical, pathological, and radiological features of this condition. Additionally, it explored current treatment options and prognoses by referencing relevant literature.