Diagnosis of primary esophageal synovial sarcoma by demonstration of t(X;18) translocation: a case report

Virchows Arch. 2006 Aug;449(2):262-7. doi: 10.1007/s00428-006-0234-1. Epub 2006 Jun 21.

Abstract

Synovial sarcoma (SS) is an uncommon soft tissue tumor occurring mainly in the periarticular region of the extremities of young adults. In this report, we describe a very rare occurrence of primary SS of the esophagus in a 72-year-old woman. Histologically, the tumor demonstrated biphasic morphologic findings associated with poorly differentiated areas. Tumor cells expressed vimentin, epithelial (EMA, CK7, AE1/3), bcl-2 and neuroectodermal (CD56, CD57, CD99) antigens. Differential diagnose included esophageal sarcomatoid carcinoma. Cytogenetic analysis confirmed the diagnosis of SS by identifying t(X;18) translocation. The literature of this very uncommon entity of the esophagus is reviewed.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Chromosomes, Human, Pair 18*
  • Chromosomes, Human, X*
  • Esophageal Neoplasms / chemistry
  • Esophageal Neoplasms / genetics*
  • Esophageal Neoplasms / pathology
  • Female
  • Humans
  • Immunohistochemistry
  • In Situ Hybridization, Fluorescence
  • Sarcoma, Synovial / chemistry
  • Sarcoma, Synovial / genetics*
  • Sarcoma, Synovial / pathology
  • Translocation, Genetic*