Intra-articular synovial sarcoma in the ankle joint: A case report

Molecular and Clinical Oncology
Tomoki NakamuraAkihiro Sudo

Abstract

Intra-articular primary soft tissue sarcomas are extremely rare. The present case report describes a case of intra-articular synovial sarcoma of the ankle joint. A 51-year-old man presented with complaints of swelling and progressive pain in the right ankle. Lateral radiographs of the ankle revealed lytic invasion of the anterior and posterior parts of the talus. Computed tomography imaging revealed a low-density lesion with calcifications around the ankle joint. Magnetic resonance imaging revealed that the diffuse lesion was isointense on T1-weighted images and hypointense to hyperintense on T2-weighted images. The final diagnosis was synovial sarcoma. The foot could not be salvaged as the sarcoma was diffusely spread throughout the ankle joint; thus, the patient underwent below-the-knee amputation with neoadjuvant and adjuvant chemotherapy. He succumbed from fatal arrhythmia 2 years following the initial diagnosis. Although intra-articular primary soft tissue sarcomas are extremely rare, the possibility of malignancy should be considered.

References

Feb 1, 1991·AJR. American Journal of Roentgenology·M J MortonF H Sim
May 1, 1965·Cancer·N L CADMANP J KELLY
Mar 6, 2007·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·Yoshinao OdaMasazumi Tsuneyoshi
Jul 31, 2008·Journal of Computer Assisted Tomography·Liem T Bui-Mansfield, Seth D O'Brien
Sep 17, 2008·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Mark D MurpheyEric A Walker
Mar 23, 2012·Skeletal Radiology·Jagmeet S BhamraAsif Saifuddin
Mar 5, 2013·Skeletal Radiology·Michael V FriedmanDaniel E Wessell
Mar 31, 2016·Histopathology·Ivan ChebibG Petur Nielsen
Apr 14, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Amol Saxena, Marie St Louis
Aug 30, 2016·Annals of Translational Medicine·Alessio Biazzo, Norberto Confalonieri

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