Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
tumor topic hub

Synovial Sarcoma

High-grade soft tissue sarcoma, often near large joints of extremities (knee, ankle). Affects adolescents and young adults (15–40 years). Histology: biphasic (epithelial + spindle cells) or monophasic; SYT-SSX fusion gene (t[X;18]). Imaging: calcification may be seen on X-ray; MRI shows heterogeneous mass. Treatment: wide excision with radiotherapy; chemotherapy (ifosfamide, doxorubicin) improves survival in advanced cases.

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High-grade soft tissue sarcoma, often near large joints of extremities (knee, ankle). Affects adolescents and young adults (15–40 years). Histology: biphasic (epithelial + spindle cells) or monophasic; SYT-SSX fusion gene (t[X;18]). Imaging: calcification may be seen on X-ray; MRI shows heterogeneous mass. Treatment: wide excision with radiotherapy; chemotherapy (ifosfamide, doxorubicin) improves survival in advanced cases.
MCQs

High-yield practice questions

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Question 1

What is the most common age group affected by synovial sarcoma?

Question 2

Which of the following is the pathognomonic genetic alteration associated with synovial sarcoma?

Question 3

Which subtype of synovial sarcoma is characterized by both epithelial and spindle cell components?

Question 4

What is the most common location for synovial sarcoma?

Question 5

Which imaging modality is most useful in evaluating synovial sarcoma?

Question 6

In synovial sarcoma, which of the following treatment modalities is considered most effective for localized disease?

Question 7

Which immunohistochemical marker is highly sensitive and specific for synovial sarcoma?

Question 8

What is the prognosis for patients with metastatic synovial sarcoma?

Question 9

What is a characteristic feature of the monophasic subtype of synovial sarcoma?

Question 10

Which treatment regimen is typically used for advanced synovial sarcoma?