Background: Synovial cell sarcomas are usually seen in a juxta-articular location. However, they occur rarely in the head and neck region.
Case presentation: We report a rare case of brachial plexus synovial sarcoma in a 24-year old South Asian man treated successfully with surgical excision followed by radiotherapy.
Conclusions: Synovial sarcoma arising from the brachial plexus is rare. The treatment is multimodal with complete excision (often challenging owing to the proximity of the neurovascular structures) and adjuvant therapy.
Keywords: Brachial plexus; Soft tissue sarcoma; Synovial cell sarcoma.