Biphasic synovial sarcomas of the liver: a case report and literature review

Diagn Pathol. 2022 Jun 2;17(1):49. doi: 10.1186/s13000-022-01233-4.

Abstract

Background: Synovial sarcoma is a soft tissue sarcoma of temporarily unknown histologic origin with the ability for biphasic differentiation, occurring mostly in the vicinity of large joints of the extremities. Synovial sarcoma that originates in the liver is extremely rare. Only 7 cases have been reported in the domestic and international literature.

Case presentation: We report an 11-year-old female patient who underwent partial hepatectomy for a liver mass. Microscopically, she was diagnosed with hepatic biphasic synovial sarcoma. Cytogenetic examination revealed the fusion gene SS18-SSX1 (+), which confirmed the diagnosis.

Conclusion: Synovial sarcoma of the liver is a rare malignancy that is difficult to diagnose. Confirmation of diagnosis is based on histopathological assessment combined with immunohistochemical staining and, if necessary, cytogenetic aids.

Keywords: Case report; Diagnosis; Liver; Synovial sarcoma.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Child
  • Female
  • Humans
  • Liver Neoplasms* / diagnosis
  • Liver Neoplasms* / genetics
  • Oncogene Proteins, Fusion / genetics
  • Sarcoma, Synovial* / diagnosis
  • Sarcoma, Synovial* / genetics
  • Sarcoma, Synovial* / pathology
  • Soft Tissue Neoplasms*

Substances

  • Oncogene Proteins, Fusion