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Case report
Synovial sarcoma of the transverse colon metastatic to the chest wall after 3 years of follow-up
  1. Viviana Marcela Hidalgo Mora1,
  2. David Ricardo Baquero Zamarra2,
  3. Maria Angelica Cendales3 and
  4. Carlos Edgar Figueroa Avendaño2
  1. 1Universidad Militar Nueva Granada - Hospital Militar Central, Bogota, Colombia
  2. 2Hospital Universitario Mayor - Méderi, Bogota, Colombia
  3. 3Universidad Del Rosario - Hospital Universitario Mayor Méderi, Bogotá, Colombia
  1. Correspondence to Viviana Marcela Hidalgo Mora; viviana.hidalgo{at}urosario.edu.co

Abstract

We report a fifth case of a transverse colon primary synovial sarcoma. A 31-year-old man with history of grade I obesity presented to an outpatient clinic reporting 6 months of intermittent colicky abdominal pain associated with haematochezia and rectal bleeding. Colonoscopy reported a partially obstructive intraluminal tumour lesion located in the transverse colon. There was no evidence of metastatic disease in the extension studies, so the patient was admitted to the hospital for a laparoscopic subtotal colectomy. Histopathology demonstrated intermediate-grade synovial sarcoma. At the third year of follow-up, the patient presented metastases on the chest wall, which required extensive resection and complementary oncological management.

  • colon cancer
  • surgical oncology
  • gastrointestinal surgery
  • pathology

http://dx.doi.org/10.1136/bcr-2020-239088

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    Footnotes

    • Twitter @ViviHidalgoM

    • Contributors VMHM collected patient information, performed the literature review and drafted the paper. DRBZ motivated the patient to write a patient's perspective and revised the draft paper. MAC obtained consent from the patient, translated the patient's perspective and revised the draft paper. CEFA critically reviewed the study proposal, obtained and presented the consent to the institutional (Hospital Universitario Mayor) ethics committee and revised the draft paper.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.