Primary Renal Synovial Sarcoma

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Published: Sep 18, 2015
DOI: https://doi.org/10.31524/bkkmedj.2015.09.011
Keywords:
synovial sarcoma, renal

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Potjana Jitawatanarat, MD
Somboon Leungwattanakij, MD
Vijitr Boonpucknavig, MD

Abstract

Synovial sarcomas are tumors that often occur in the proximity of large joints of young adults and adolescents. Primary synovial sarcoma of the kidney is very rare and difficult to diagnose. To date, fewer than 50 cases of primary renal synovial sarcoma (SS) have been reported in literature published in English. There are no established guidelines regarding the management of this tumor given the limited number of cases reported. Although primary surgical resection is the treatment of choice for primary renal synovial sarcoma, the prognosis is poor with surgery alone. Here, we describe a case of a 25-year-old female with primary renal synovial sarcoma that was treated successfully by radical nephrectomy followed by adjuvant chemotherapy. Physicians should be aware of the possibility of malignancy in renal masses and raise the suspicion of synovial sarcoma, especially when patients with renal masses are young adults.

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How to Cite
1.
Jitawatanarat P, Leungwattanakij S, Boonpucknavig V. Primary Renal Synovial Sarcoma. BKK Med J [Internet]. 2015 Sep. 18 [cited 2024 Nov. 22];10(1):55. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/221136
Issue
Vol. 10 (2015): September
Section
Case Report

This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

1. Gulum M, Yeni E, Savas M, et al. Primary renal synovial sarcoma Case Reports in Urology 2001. (Accessed June 20, 2015 at http://www.hindawi.com/journals/criu/2011/810184/ ).
2. Fetsch JF and Meis JM. Synovial sarcoma of the abdominal wall. Cancer 1993;72(2):469-77.
3. Roth JA, Enzinger FM, and Tannenbaum M. Synovial sarcoma of the neck: a follow up study of 24 cases. Cancer 1975;35:1243-53.
4. Shmokler BM. Retroperitonial synovial sarcoma. American Journal of Clinical Pathology 1982;77:686-91.
5. Cohen IJ, Issakov J, Avigad S, et al. Synovial sarcoma of bone delineated by spectral karyotyping; The Lancet 1997;350:1679-83.
6. Hisaoka M, Hashimoto H, Iwamasa T, et al. Primary synovial sarcoma of the lung: report of two cases confirmed by molecular detection of SYT-SSX fusion gene transcripts. Histopathology 1999;34(3):205-10.
7. Gaertner E, Zeren EH, Fleming MV, et al. Biphasic synovial sarcomas arising in the pleural cavity. A clinicopathologic study of five cases. Am J Surg Pathol 1996;20:36-45.
8. Iwasaki H, Ishiguro M, Ohjimi Y, et al. Synovial sarcoma of the prostate with t(X;18)(p11.2;q11.2). Am J Surg Pathol 1999;23:220-6.
9. Argani P, Faria PA, Epstein JI, et al. Primary renal synovial sarcoma: molecular and morphologic delineation of an entity previously included among embryonal sarcomas of the kidney. Am J Surg Pathol 2000;24:1087-96.
10. Devita VT Jr, Helman S, Rosenberg SA. Cancer principles & practice of oncology. 6th ed. Philadelphia: Lippincott Williams & Wilkins, 2001:841-1873.
11. Kim DH, Sohn JH, Lee MC, et al. Primary synovial sarcoma of the kidney. Am J Surg Pathol 2000;24 :1097-104.
12. Koyama S, Morimitsu Y, Morokuma F, et al. Primary synovial sarcoma of the kidney: report of a case confirmed by molecular detection of the SYT-SSX2 fusion transcripts. Pathol Int 2001;51:385-91.
13. Lopes H, Pereira C, Zucca L, et al. Primary Monophasic Synovial Sarcoma of the Kidney: A Case Report and Review of Literature. Clin Med Insights Oncol 2013;7: 257-62
14. Mauricio A, Paláu L, Pham TT, et al. Primary synovial sarcoma of the kidney with rhabdoid features. Int J Surg Pathol 2007;15:421-8.
15. Park M, Baek T, Kim J, et al. Primary synovial sarcoma of the kidney: A case report and literature review. Korean J Pathol 2009;43:274-8.
16. Grampurohit VU, Myageri A, Rao RV. Primary renal sarcoma. Urol Ann 2011;3:110-3.
17. Karavasilis V, Seddon BM, Ashley S, et al. Significant clinical benefit of first-line palliative chemotherapy in advanced soft-tissue sarcoma: retrospective analysis and identification of prognostic factors in 488 patients. Cancer 2008;112:1585-91.
18. Schaal CH, Navarro FC, Moraes Neto FA. Primary renal sarcoma with morphologic and immunohistochemical aspects compatible with synovial sarcoma. International Braz J Urol 2004;30:210-3.
19. Shannon BA, Murch A, Cohen RJ. Primary renal synovial sarcoma confirmed by cytogenetic analysis: a lesion distinct from sarcomatoid renal cell carcinoma. Arch Pathol Lab Med 2005;129:238-40.
20. Park SJ, Kim HK, Kim CK, et al. A case of renal synovial sarcoma: Complete remission was induced by chemotherapy with Doxorubicin and Ifosamide. Korean J Intern Med 2004;19:62-5.