Synovial Sarcoma Mimicking Haemophilic Pseudotumour
2006
Case of Synovial Sarcoma in a Patient with Haemophilia A
Sample size: 1
publication
Evidence: moderate
Author Information
Author(s): Mann Haroon A., Hilton Andrew, Goddard Nicholas J., Smith Michael A., Holloway Brian, Lee Christine A.
Primary Institution: Royal Free Hampstead NHS Trust
Conclusion
The case highlights the importance of considering the possibility of a tumor in patients with haemophilia presenting with soft tissue swelling.
Supporting Evidence
- Soft tissue sarcomas account for approximately 5−10% of all mesenchymal malignancies.
- Synovial cell sarcomas are the most common soft tissue sarcoma in people aged between fifteen and forty years.
- Haemophilic pseudotumours present as progressive cystic swellings encapsulating a haematoma.
Takeaway
A man with a bleeding disorder had a lump in his leg that looked like a bruise, but it turned out to be a rare type of cancer.
Methodology
The patient underwent open biopsy and imaging studies including MRI and ultrasound.
Limitations
The clinical findings were nonspecific and could easily be confused with a bleeding pseudotumor.
Participant Demographics
A 36-year-old Sudanese male with mild haemophilia A.
Digital Object Identifier (DOI)
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