TITLE:
Primary Gastric Synovial Sarcoma Diagnosed by Endoscopic Surveillance of a Gastric Ulcer
AUTHORS:
Spencer Goble, Alan Ayoub, Bradley Linzie, James Fink, Ahmad Malli
KEYWORDS:
Primary Gastric Synovial Sarcoma, Gastric Ulcer, Surveillance Endoscopy
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.12 No.8,
August
21,
2023
ABSTRACT: Primary gastric synovial sarcoma is rare and challenging to diagnose. We present a case of a gastric ulcer that was diagnosed as primary gastric synovial sarcoma only after surveillance endoscopy with repeat biopsies. The diagnosis was established with the identification of the pathognomonic chromosomal translocation t(X;18)(p11;q11). The patient was treated with wedge resection and has remained disease-free on surveillance imaging and endoscopy. This case demonstrates the difficulty in diagnosing primary gastric synovial sarcoma and the benefits of early disease detection.