Primary Monophasic Synovial Sarcoma Arising in the Mesentery: Case Report of an Extremely Rare Mesenteric Sarcoma Confirmed by Molecular Detection of a SYT-SSX2 Fusion Transcript.
- Author:
Han Suk RYU
1
;
Ilyeong HEO
;
Jae Soo KOH
;
Sung Ho JIN
;
Hye Jin KANG
;
Soo Youn CHO
Author Information
1. Department of Pathology, Chung-Ang University Medical Center, Chung-Ang University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Synovial sarcoma;
Mesentery;
Spindle cell sarcoma;
Immunohistochemistry;
Reverse transcriptase polymerase chain reaction
- MeSH:
Actins;
Calcium-Binding Protein, Vitamin D-Dependent;
Gastrointestinal Stromal Tumors;
Hemangiopericytoma;
Humans;
Immunohistochemistry;
Keratins;
Mesentery;
Middle Aged;
Mucin-1;
Muscles;
Oncogene Proteins, Fusion;
Reverse Transcriptase Polymerase Chain Reaction;
Sarcoma;
Sarcoma, Synovial
- From:Korean Journal of Pathology
2012;46(2):187-191
- CountryRepublic of Korea
- Language:English
-
Abstract:
Synovial sarcoma arises in the para-articular tissues, and it can also occur in various unexpected sites. We report a rare case of primary monophasic synovial sarcoma (MSS) arising in the mesentery. A 59-year-old man presented with a palpable abdominal mass. On microscopic examination, the entire tumor comprised a dense proliferation of the spindle cells without epithelial components. The tumor cells were positive for transducin-like enhancer of split 1, bcl-2, epithelial membrane antigen and CD99 but negative for CD34, CD117, alpha-smooth muscle actin, cytokeratin, and calretinin on immunohistochemistry. The reverse transcriptase-polymerase chain reaction revealed a single 151-bp fragment representing the SYT-SSX2 fusion transcript. Because mesenteric MSS is extremely rare and many cases display histologic findings that overlap with those of more frequently involved tumors such as hemangiopericytoma and gastrointestinal stromal tumor, there is a chance of making an incorrect diagnosis that can result in an inappropriate treatment.
