Synovial sarcoma of the kidney: a report of 4 cases with pathologic appraisal and differential diagnostic review.
Yia Swam TanLay Guat NgSidney K.H. YipMiah Hiang TayAlvin Soon Tiong LimSim Leng TienLiang ChengPuay Hoon Tan
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Abstract:
Synovial sarcoma of the kidney is rare. It is clinicoradiologically indistinguishable from the more frequently encountered renal cell carcinoma. Histologically it needs to be differentiated from other spindle cell lesions occurring within the kidney, including a spectrum of benign to malignant tumors. Among malignant spindle cell tumors of the kidney, mimics of synovial sarcoma are sarcomatoid renal cell carcinoma, sarcomatoid urothelial carcinoma and other primary sarcomas, such as leiomyosarcoma and malignant fibrous histiocytoma.Four cases of synovial sarcoma originated in the kidney, with this report focusing on clinicopathologic and differential diagnostic features.The correct diagnosis of synovial sarcoma requires support by an immunohistochemical panel as well as adjunctive investigations like polymerase chain reaction and fluorescence in situ hybridization to determine the presence of the SYT-SSX fusion gene and translocation (X,18), respectively.Keywords:
Synovial Sarcoma
Spindle cell sarcoma
Sarcomatoid Carcinoma
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