Synovial sarcoma of the transverse colon metastatic to the chest wall after 3 years of follow-up

BMJ Case Rep. 2021 Jul 2;14(7):e239088. doi: 10.1136/bcr-2020-239088.

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.

Keywords: colon cancer; gastrointestinal surgery; pathology; surgical oncology.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Colectomy
  • Colon, Transverse*
  • Follow-Up Studies
  • Humans
  • Male
  • Sarcoma, Synovial* / surgery
  • Thoracic Wall*