A primary gastric synovial sarcoma: A case report and literature review. Issue 49 (December 2017)
- Record Type:
- Journal Article
- Title:
- A primary gastric synovial sarcoma: A case report and literature review. Issue 49 (December 2017)
- Main Title:
- A primary gastric synovial sarcoma
- Authors:
- So, In Tae
Cho, Kwang Bum
Lee, Ju Yup
Kim, Sang Jin
Jung, Hye In
Choi, Jong Hwan
Lee, Yoo Jin
Lee, Hyun Jik
Park, Kyung Sik
Ryu, Seung Wan
Kang, Yu Na - Other Names:
- NA. section editor.
- Abstract:
- Abstract: Rationale: When a gastric spindle cell tumor is observed, the possibility of synovial carcinoma, besides common mesenchymal tumor, should also be considered. Presenting concerns of the patient: The patient is a 51-year-old American woman who underwent medical check-up at a general hospital. Upper endoscopy showed a 2-cm sized mass covered with intact mucosa, and a central depression located on the posterior wall of the mid body. Biopsy of the mass showed focal atypical cells proliferation in mucosa on hematoxylin & eosin (H&E) staining. Endoscopic ultrasound showed a 17-mm homogenously hypoechoic mass within the submucosal layer. Interventions: After diagnostic endoscopic submucosal dissection was performed, H&E and immunohistochemical staining showed synovial sarcoma (SS). To confirm the diagnosis, reverse transcriptase-polymerase chain reaction was performed, revealing a chimeric transcript of the SYT-SSX1 fusion gene. The diagnosis of primary gastric SS was confirmed because no evidence of possible primary lesions or metastatic lesions was observed. Therefore, the patient underwent distal gastrectomy. Outcomes: After surgery, the surgical specimen demonstrated no residual tumor cells. The patient received no adjuvant therapy, and there has been no evidence of local recurrence or distant metastasis for 2 months after the operation. Lessons: When gastric subepithelial tumor is suspicious, we should also consider gastric SS.
- Is Part Of:
- Medicine. Volume 96:Issue 49(2017)
- Journal:
- Medicine
- Issue:
- Volume 96:Issue 49(2017)
- Issue Display:
- Volume 96, Issue 49 (2017)
- Year:
- 2017
- Volume:
- 96
- Issue:
- 49
- Issue Sort Value:
- 2017-0096-0049-0000
- Page Start:
- Page End:
- Publication Date:
- 2017-12
- Subjects:
- endoscopy -- gastric neoplasm -- synovial sarcoma
Medicine -- Periodicals
Medicine -- Periodicals
Médecine -- Périodiques
Geneeskunde
Medicine
Periodicals
Periodicals
610.5 - Journal URLs:
- http://journals.lww.com/md-journal/pages/default.aspx ↗
http://gateway.ovid.com/ovidweb.cgi?T=JS&PAGE=toc&D=ovft&MODE=ovid&NEWS=N&AN=00002060-000000000-00000 ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/MD.0000000000008904 ↗
- Languages:
- English
- ISSNs:
- 0025-7974
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 5534.000000
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