Synovial sarcoma of the liver - a case report
Journal
Open Access Macedonian Journal of Medical Sciences
Date Issued
2011-06-15
Author(s)
Filipovski, Vanja
Banev, Saso
Jovcevski, Alen
Abstract
We report a case of synovial sarcoma of liver in a 44 year old man, presented as a tumor mass in left
hepatic lobe. The patient was admitted at the hospital with clinical symptoms of acute abdomen and
severe pain in the right upper quadrant.
Imaging examinations showed a tumor mass in the left hepatic lobe and free liquid in the abdominal
cavity, due to the rupture of the tumor. A resection of 2 segments of the left hepatic lobe, where the tumor
was located, was performed. Morphological, immunohistochemical and FISH studies confirmed the
diagnosis of monophasic synovial sarcoma. Additional clinical and imaging examinations, made after
the surgery, did not confirm tumor mass in any other localization. The patient refused any therapy other
than surgery, at that time.
A relapsing tumor mass was found 6 months later and another surgical intervention was done. The
patient received five monotherapy cycles of Doxorubicin, 75 mg/m2, after the second surgical intervention.
He is still alive 11 months after the first operation receiving the same therapy and having second
relapsing inoperable tumor mass filling the retroperitoneal space and a great fraction of the abdominal
cavity.
hepatic lobe. The patient was admitted at the hospital with clinical symptoms of acute abdomen and
severe pain in the right upper quadrant.
Imaging examinations showed a tumor mass in the left hepatic lobe and free liquid in the abdominal
cavity, due to the rupture of the tumor. A resection of 2 segments of the left hepatic lobe, where the tumor
was located, was performed. Morphological, immunohistochemical and FISH studies confirmed the
diagnosis of monophasic synovial sarcoma. Additional clinical and imaging examinations, made after
the surgery, did not confirm tumor mass in any other localization. The patient refused any therapy other
than surgery, at that time.
A relapsing tumor mass was found 6 months later and another surgical intervention was done. The
patient received five monotherapy cycles of Doxorubicin, 75 mg/m2, after the second surgical intervention.
He is still alive 11 months after the first operation receiving the same therapy and having second
relapsing inoperable tumor mass filling the retroperitoneal space and a great fraction of the abdominal
cavity.
Subjects
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