A Case Report on Synovial Sarcoma

Abstract

Introduction: Synovial sarcoma is a high-grade, spindle cell neoplasm of mesenchymal origin. We aim to document an unusual case of Synovial sarcoma of Ethmoid sinus, its clinical picture, diagnosis and management.
Case Report: A lady who presented with  nasal block  and watering eyes since 9 months. Nasal endoscopy revealed a bleeding polypoidal mass with CT evidence of adjacent bony erosions with intracranial extension. Biopsy revealed spindle cell neoplasm with specific immunohistochemical  markers  towards synovial sarcoma.
Conclusion: Synonasal synovial sarcoma presents similar to any benign sinonasal mass making diagnosis very difficult.To  achieve a surgical clearance in the head and neck region can be challenging due to inaccessibility and proximity of vital structures. In our patient we performed wide excision of tumour via open approach followed by adjuvant treatment.