Research Article

A Retrospective Case Series of Synovial Sarcoma of the Upper Extremity

Table 1

Clinicopathologic demographics of patients who underwent an unplanned excision of an upper extremity synovial sarcoma.

CaseAge (years)SexLocationSizeDepthStageSurgical treatmentAdjuvant treatmentsLocal recurrenceMetsFollow-up (months)Outcome

130MaleElbow<5 cmDeepIIAWide reexcisionBrachytherapy AXRTNoNo155ANED
240FemaleThenar eminence<5 cmSuperficialIIAWide reexcision FDS/FDP/ABP resection
Tendon transfers
Chemo
NXRT
IORT
NoNo248ANED
357MaleIndex fingerUnknownDeepUnknownRay resection index/long fingersNoneNoNo16ANED
455FemaleBrachial plexusUnknownDeepIIAWide reresection, pectoralis flapNXRT
IORT
NoNo161ANED
522FemaleRing finger<5 cmSuperficialIIARay resection ring fingerNoneNoNo95ANED
619FemaleForearm<5 cmDeepIIAWide reexcisionNXRT
IORT
NoNo92ANED
739MaleAntecubital fossa<5 cmDeepIIAMarginal reexcision
Radial forearm flap
Chemo
NXRT brachytherapy
NoLung210ADP
813FemaleTrapezius>5 cmDeepIIIWide reexcisionIORT
AXRT
NoNo84ANED
96FemaleForearm<5 cmDeepIIAWide reexcisionNoneNoNo60ANED
1040MaleHand<5 cmSuperficialIIAMarginal reexcision
Radial forearm flap
NXRTNoNo51ANED
1155FemaleLong finger<5 cmSuperficialIIARay resection long fingerNoneNoNo60ANED
1241MaleElbowUnknownSuperficialUnknownWide reexcisionNXRTNoNo63ANED
1331FemaleForearm>5 cmDeepIIBWide reexcision
Free serratus flap
Chemo
NXRT
NoNo90ANED
1430MaleElbowsUnknownSuperficialUnknownWide reexcisionChemo
NXRT
YesNo56ANED
1522FemaleForearm<5 cmSuperficialIIAWide reexcisionNXRTNoNo55ANED

AXRT, adjuvant radiation; Mets, metastases; NXRT, neoadjuvant radiation; IORT, intraoperative radiation; chemo, chemotherapy; ANED, alive no evidence of disease; LTF, lost to follow-up; ADP, alive with disease progression.