Thigh synovial sarcoma

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Left thigh medial swelling.

Patient Data

Age: 35 years
Gender: Male
mri

Left medial upper thigh deep intermuscular soft tissue mass lesion. It elicits low signal on T1 WI, high signal on T2, STIR WI with diffusion restriction and post contrast enhancement. It's insinuated between and displacing the adductor muscles and encasing the adjacent bone.

Case Discussion

Biopsy revealed biphasic synovial sarcoma.

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