Báo cáo y học: "Synovial sarcoma of the vulva: a case repor"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Synovial sarcoma of the vulva: a case report. | Asher et al. Journal of Medical Case Reports 2011 5 95 http content 5 1 95 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Synovial sarcoma of the vulva a case report Viren Asher1 Gerhard van Schalkwyk2 Anish Bali1 Abstract Introduction Contrary to its name synovial sarcoma does not arise from the synovial membrane but from multipotent stem cells and can present in any part of the body. Very few cases of vulval synovial sarcoma have been reported in the literature we report on such a presentation. These tumors can present as painless lumps which must be completely excised to give the best prognosis. Therefore the diagnosis of synovial sarcoma should always be kept in mind in the management of vulval masses especially in young patients. Case presentation We report the case of a 28-year-old Caucasian woman with synovial sarcoma of the vulva. Complete excision was possible in this case. Conclusion We have presented a rare case of synovial sarcoma of the vulva which can be easily confused with lipoma of the vulva. The management of this tumor requires referral to a cancer centre with a multidisciplinary approach. Introduction Synovial sarcoma is the fourth most commonly occurring sarcoma accounting for 7-8 of all sarcomas 1 . It most frequently occurs in young adults with up to 30 being manifested during the first two decades of life and a median age of 13 years at presentation 2 . There is a slight male predominance. The term synovial sarcoma was coined to denominate tumors arising near tendon sheaths and joint capsules. Despite its name synovial sarcomas do not appear to arise from synovial membranes but from unknown mul-tipotent stem cells that are capable of differentiating into mesenchymal and or epithelial structures 3 and lack synovial differentiation 4 . Only five cases of synovial sarcoma arising from the vulva have been reported in the literature 5 as summarized in table 1. Case presentation A 28-year-old Caucasian woman .

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