Aim and objective: We report a case of synovial sarcoma of the thyroid gland and review the literature of few such reported cases.
Background: Synovial sarcoma of the thyroid gland is exceedingly rare with aggressive features and very poor prognosis.
Case description: We report a case of 65-year-old man from Iraq who presented initially with a neck mass and was operated at the local hospital for total thyroidectomy, and a separate neck mass extending from the thyroid gland to the upper mediastinum was found. A re-excision of the mass was done with HPE showing malignant peripheral nerve sheath tumor. He was referred to our institute with relapse of the neck mass with compressive symptoms. The mass was excised with the HPE and IHC staining showing grade 2 biphasic synovial sarcoma. Within twenty days of surgery, he presented with severe respiratory distress and tumor with intraluminal tracheal growth. He died of compressive symptoms two weeks after the relapse.
Conclusion: The early diagnosis and margin-free resection give the best chance of survival for the patient.
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