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Gastric Synovial Sarcoma

  • Ignacio FuenteEmail author
  • Rocio Bruballa
  • Santiago Corradetti
  • Demetrio Cavadas
  • Axel Beskow
  • Fernando Wright
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Case Report

A 42-year-old male patient with unremarkable past medical history was referred to our institution for asthenia. Abdominal examination showed no abnormalities. A blood exam was carried out, which revealed hematocrit of 28% and hemoglobin level of 8.2 g/dl with an iron deficiency pattern. Due to the suspicion of gastrointestinal bleeding, a colonoscopy and upper gastrointestinal endoscopy (UGIE) were performed showing a 3 × 3-cm pedunculated lesion on the lesser curve of the stomach and on its surface, an ulcer with fibrinous fundus was observed. No evidence of any other lesion was noted on the colonoscopy. Given that the patient was not aware of the resection that needed to be performed in a lesion of this size, we decided to perform a deferred endoscopic resection. Therefore, we conducted a second UGIE in which we evidenced the formerly described lesion. By previously injecting the pedicle of the lesion with adrenaline (1:20.000 dilution), we performed the resection with a...

Keywords

Gastric synovial sarcoma Synovial sarcoma GIST 

Notes

Author’s Contribution

All authors have contributed to the design of the work, data acquisition and analysis data, revision for important intellectual content, and final approval of the version to be published.

References

  1. 1.
    Romeo S, Rossi S, Acosta Marín M, Canal F, Sbaraglia M, Laurino L, et. al. Primary synovial sarcoma (SS) of the digestive system: a molecular and clinicopathological study of fifteen cases. Clin Sarcoma Res 2015 Feb 12;5:7.  https://doi.org/10.1186/s13569-015-0021-3.CrossRefPubMedPubMedCentralGoogle Scholar
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    Wang CC, Wu MC, Lin MT, Lee JC. Primary gastric synovial sarcoma. J Formos Med Assoc. 2012 Sep;111(9):516–20.  https://doi.org/10.1016/j.jfma.2012.07.010.CrossRefPubMedGoogle Scholar
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    Paderno A, Gronchi A, Piazza C. Synovial sarcomas of the upper aero-digestive tract: is there a role for conservative surgery? Curr Opin Otolaryngol Head Neck Surg. 2018 Apr;26(2):94–101.  https://doi.org/10.1097/MOO.0000000000000440 CrossRefPubMedGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2018

Authors and Affiliations

  1. 1.General Surgery DepartmentHospital Italiano de Buenos AiresBuenos AiresArgentina

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