1Professor, Department of Otorhinolaryngology, IMS and SUM hospital, Siksha “O” Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
2Research Scholar, Department of Otorhinolaryngology, IMS and SUM hospital, Siksha “O” Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
3Assistant Professor, Medical Research Laboratory, IMS and SUM hospital, Siksha “O” Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
4Associate Professor, Department of Oral Pathology & Microbiology, I.D.S., Siksha “O” Anusandhan, Deemed to be university, BBSR, Odisha, India
*Corresponding author: Santosh K. Swain Professor, Dept. of Otorhinolaryngology, IMS & SUM Hospital, Kalinga Nagar, Bhubaneswar-3, Odisha, India. Email: santoshvoltaire@yahoo.co.in, Cell: +91-9556524887
Online published on 13 December, 2018.
Synovial sarcoma is a rare malignant tumour in the head and neck region. It has an aggressive nature and poor prognosis. The treatment of the synovial sarcoma is essentially surgical followed by postoperative chemoradiation.
To study the details of clinical profile and management of synovial sarcoma in the head and neck region at a tertiary care teaching hospital of eastern India.
Between January 2009 and October 2015, six patients were diagnosed as synovial sarcoma in the head and neck area. Out of six patients, five were male and one was female. The age ranges from 21 to 48 years. All were diagnosed by histopathology and immunohistochemistry. There were surgically treated followed by chemoradiation.
The common clinical presentations of head and neck synovial sarcoma are dysphagia, foreign body sensation in throat. The patients were in the range of 21–48 years old, among them five were male and one was female. The diagnosis was made by histopathologically and immunohistochemistry. All were treated with surgery followed by chemoradiation. One patient died due to distant metastasis.
Synovial sarcoma is an uncommon malignant lesion in the head and neck area. Imaging, histopathology and immunohistochemistry are essential for the diagnosis. Surgical excision and post operative chemoradiation are the ideal treatment. Early diagnosis helps the patients from the aerodigestive complications and death.
Synovial sarcoma, neck, hypopharynx, Oropharynx, dysphagia
