부산대학교 도서관

Background: Synovial sarcomas are aggressive tumors that comprise approximately 10% of all soft tissue sarcomas. This type of tumor commonly arises in the soft tissues of the extremities and less commonly develops in the head and neck, abdominal wall and other rare sites like vulva, vagina. To the best of our knowledge, here we report the first novel case of synovial sarcoma of the cervix.Case: A 15-year-old girl presented to our hospital with abnormal heavy vaginal bleeding on and off for past 6 months. Sonography of pelvis was suggestive of a hypoechoic lesion of about 4.6 × 4.9 cm in cervico-vaginal region showing flow on color Doppler. Examination under anesthesia revealed a necrosed, friable, sessile polypoidal structure seen arising from the posterior surface of anterior lip of the cervix. Polypectomy was done, and diagnosis of biphasic synovial sarcoma was made on histopathological examination which was confirmed by immunohistochemical studies.Result: External beam radiotherapy was given to the patient (50 Gy), and patient presented with bilateral tender inguinal lymphadenopathy and post-radiation vulvitis which was managed conservatively.Conclusion: There should be a multidisciplinary approach for the management as it may improve the quality of life.