First Recurrence of Synovial Sarcoma Presenting With Solitary Pancreatic Mass

Raja R Narayan; Greg W Charville; Daniel Delitto; Kristen N Ganjoo

doi:10.7759/cureus.26356

First Recurrence of Synovial Sarcoma Presenting With Solitary Pancreatic Mass

Cureus. 2022 Jun 26;14(6):e26356. doi: 10.7759/cureus.26356. eCollection 2022 Jun.

Authors

Raja R Narayan¹, Greg W Charville², Daniel Delitto¹, Kristen N Ganjoo³

Affiliations

¹ Surgery, Stanford University School of Medicine, Stanford, USA.
² Pathology, Stanford University School of Medicine, Stanford, USA.
³ Medical Oncology, Stanford University School of Medicine, Stanford, USA.

Abstract

Synovial sarcoma usually presents in the lower extremities and metastasizes to the lungs; however, unusual patterns of recurrence can occur. For patients with recurrent synovial sarcoma to a proximal peripancreatic lymph node, a pancreaticoduodenectomy or Whipple procedure is the best option for a cure. Lymph node metastasis from synovial sarcoma is exceptionally rare, and data guiding the use of the Whipple procedure for curative resection of metastatic synovial sarcoma are even more sparse. In this report, we describe the management of a patient with metastatic synovial sarcoma to a proximal peripancreatic lymph node with a pancreaticoduodenectomy.

Keywords: bone and soft tissue sarcoma; chylous leakage; lymph node metastasis; pancreatic metastasis; whipple’s pancreaticoduodenectomy.

Publication types

Case Reports