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  Vol. 132 No. 11, November 2006 TABLE OF CONTENTS
  Archives
  •  Online Features
  Clinical Problem Solving: Pathology
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Pathology Quiz Case 1: Diagnosis

Arch Otolaryngol Head Neck Surg. 2006;132:1270-1271.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Epithelioid synovial sarcoma (synoviosarcoma)

Synovial sarcomas are malignant soft tissue neoplasms that are rarely found in the head and neck region.1 They usually occur in the extremities, adjacent to the joints, especially the knees, and account for about 5% to 10% of all soft tissue malignancies. They typically affect young adults and adolescents (mean age at diagnosis, 30 years in adults and 13 years in children).2 They originate from pluripotent mesenchymal cells.3 When they develop in the head and neck area, they are most often found in the hypopharynx. There have been reports of lesions arising in the neck, face, temporomandibular joint, larynx, sinonasal region, and parapharyngeal and retropharyngeal spaces.4 Occurrence in the tongue is extremely rare.5

In the present case, a gadolinium-enhanced T1-weighted MRI of the neck revealed a mass with heterogeneously enhancing signal intensity over the left half of the tongue (Figure 1). Although MRI is the preferred imaging tool for soft . . . [Full Text of this Article]


RELATED ARTICLE

Pathology Quiz Case 1
Chia-Hung Chen and Cheng-Yu Lo
Arch Otolaryngol Head Neck Surg. 2006;132(11):1268.
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