肺転移を伴った乳児期初発の滑膜肉腫の1例

概要

論文の詳細を見る
Synovial sarcoma is rarely encountered in childhood. A 4-year-old boy was admitted because of a recurrent soft mass located in the right hand joint. The mass was first removed at the age of 18 months, but recurred twice. Plain X-ray and CT-scan of the chest showed multiple coin lesions, and biopsy of the recurrent mass and the chest lesions revealed histologically that the boy had synovial sarcoma of the hand joint with pulmonary metastases. Almost all metastatic lesions were removed and the patient received chemotherapy, consisting of vincristine. actinomycin-D, cyclophosphamide, and VP-16. The boy is so far well 11 months after the last surgery. The pertinent literature was reviewed, and the diagnosis and management of this rarely encountered synovial sarcoma was discussed. It is emphasized that a mass lesion which may look like a "ganglion" should have histological examination in order to rule out a possiblity of this malignant tumor.
日本小児外科学会の論文
1992-08-20