Wang YY, Li ML, Zhang ZY, Ding JW, Xiao LF, Li WC, Wang L, Sun T. Primary intracranial synovial sarcoma with hemorrhage: A case report. World J Clin Cases 2021; 9(29): 8871-8878 [PMID: 34734069 DOI: 10.12998/wjcc.v9.i29.8871]
Corresponding Author of This Article
Tao Sun, MD, Chief Doctor, Department of Neurosurgery, General Hospital of Ningxia Medical University, No. 1160 Shengli Street, Xingqing District, Yinchuan 750000, Ningxia Hui Autonomous Region, China. suntao_nxmu@163.com
Research Domain of This Article
Clinical Neurology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 16, 2021; 9(29): 8871-8878 Published online Oct 16, 2021. doi: 10.12998/wjcc.v9.i29.8871
Primary intracranial synovial sarcoma with hemorrhage: A case report
Yang-Yang Wang, Man-Li Li, Zhi-Yong Zhang, Jiang-Wei Ding, Li-Fei Xiao, Wen-Chao Li, Lei Wang, Tao Sun
Yang-Yang Wang, Jiang-Wei Ding, Li-Fei Xiao, Wen-Chao Li, Lei Wang, Tao Sun, Department of Neurosurgery, General Hospital of Ningxia Medical University, Yinchuan 750000, Ningxia Hui Autonomous Region, China
Man-Li Li, Sanquan College, Xinxiang Medical University, Xinxiang 453000, Henan Province, China
Zhi-Yong Zhang, Department of Neurosurgery, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang 453000, Henan Province, China
Author contributions: Wang YY and Zhang ZY were the patient’s neurosurgeons, reviewed the literature and contributed to manuscript drafting; Li ML reviewed the literature and contributed to manuscript drafting; Ding JW contributed to manuscript drafting; Xiao LF, Li WC and Wang L analyzed and interpreted the imaging findings; Sun T was responsible for revision of the manuscript for important intellectual content; all authors have read and approved the final manuscript.
Supported bythe National Natural Science Foundation of China, No. 81971085.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016). The manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tao Sun, MD, Chief Doctor, Department of Neurosurgery, General Hospital of Ningxia Medical University, No. 1160 Shengli Street, Xingqing District, Yinchuan 750000, Ningxia Hui Autonomous Region, China. suntao_nxmu@163.com
Received: June 3, 2021 Peer-review started: June 3, 2021 First decision: July 15, 2021 Revised: July 16, 2021 Accepted: August 5, 2021 Article in press: August 5, 2021 Published online: October 16, 2021
Abstract
BACKGROUND
Synovial sarcoma (SS) is a highly malignant tumor of unknown histological origin. This tumor can occur in various parts of the body, including those without synovial structures, but mainly in and around the joints, mostly in the lower extremities. Primary intracranial SSs are remarkably rare. This paper aims to report a case of primary intracranial SS with hemorrhage.
CASE SUMMARY
A 35-year-old male patient suffered a headache and slurred speech during manual labor and was sent to the emergency department. Through imaging examination, the patient was considered to have high-grade glioma complicated with hemorrhage and was treated with craniotomy. Postoperative pathology revealed SS. positron emission tomography/computed tomography was performed, which ruled out the possibility of metastasis to the intracranial from other parts of the body. Postoperative radiotherapy was given to the patient, during which radiation necrosis occurred. Sixteen months after craniotomy, cranial magnetic resonance imaging revealed recurrence of the tumor.
CONCLUSION
Primary intracranial SS is a rare malignant tumor. Primary intracranial SS with hemorrhage and radiation necrosis should be carefully monitored during postoperative radiotherapy. Surgical resection of the tumor combined with postoperative radiotherapy and chemotherapy is currently used, but the prognosis is poor.
Core Tip: This paper presents a rare case of primary intracranial synovial sarcoma (SS) with hemorrhage. Through imaging examination, the patient was considered to have high-grade glioma complicated with hemorrhage and was treated with craniotomy. Postoperative pathology revealed SS. Postoperative radiotherapy was given, during which radiation necrosis occurred. By reviewing the diagnostic and therapeutic history and analyzing the clinical and radiological manifestations, a better understanding of the characteristics of primary intracranial SS can be achieved, helping to improve diagnosis and treatment.
