OPTION FOR SURGICAL TREATMENT OF SYNOVIAL SARCOMA OF FACIAL SOFT TISSUES

Abstract

Introduction. Sarcomas account for 1–2.5% of all malignant tumors and are characterized by aggressive growth and high mortality. They can occur in various organs, including the face. Treatment of sarcomas includes surgery, radiation and chemotherapy. Radical resection with preservation of functionality and appearance is a priority treatment method. Objective. To describe a rare clinical case of biphasic synovial sarcoma of the cheek diagnosed after multiple surgeries and to analyze the effectiveness of surgical treatment. Methods. An analysis of the clinical case of a patient with a recurrent cheek tumor was performed, including clinical, radiological, histological and immunohistochemical studies. Surgical resection of the tumor with defect plastic surgery was performed. Results. A variant of surgical treatment of synovial sarcoma of facial soft tissues that has spread to the retromaxillary and infratemporal regions is presented, using the maxillofacial approach according to Lauers-Balon, which allows to count on radical removal of the tumor while preserving more normal facial contours. Histological analysis confirmed the diagnosis of biphasic synovial sarcoma. The operation allowed to remove the tumor while preserving the skin. The postoperative period passed without complications. Conclusions. Differential diagnostics of sarcomas requires a comprehensive approach. Radical resection with subsequent plastic surgery is effective in the treatment of cheek sarcoma, providing a satisfactory functional and cosmetic result.