Published online Oct 16, 2021. doi: 10.12998/wjcc.v9.i29.8871
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
Processing time: 129 Days and 1.6 Hours
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.
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.
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.