RESUMEN
Synovial sarcoma is a rare soft tissue sarcoma of the head and neck region involving the parapharyngeal space. The diagnosis of synovial sarcoma can be very challenging to the pathologists. We present a rare case of parapharyngeal synovial sarcoma in a young female patient who had a two-month history of left cervical intumescent mass at level II. The fine needle aspiration cytology of the mass was proved inconclusive. Transcervical excision of the mass was performed and the first case of parapharyngeal sarcoma was identified in our center by fluorescence in situ hybridization (FISH) technique. Repeat imaging revealed residual tumor. The patient successfully underwent a second excision of the residual tumor and received adjuvant radiotherapy.
Asunto(s)
Adulto , Femenino , Humanos , Biopsia con Aguja Fina , Terapia Combinada , Hibridación Fluorescente in Situ , Neoplasia Residual , Neoplasias Faríngeas , Diagnóstico , Patología , Radioterapia , Cirugía General , Radioterapia Adyuvante , Sarcoma Sinovial , Diagnóstico , Patología , Radioterapia , Cirugía General , Tomografía Computarizada por Rayos XRESUMEN
Ketamine can be abused as a recreational drug, and there has been a recent surge in its usage. The effects of ketamine on the urinary system were unknown until the recent publication of a few case reports. Many doctors are still unaware of this new clinical entity, termed ketamineassociated ulcerative cystitis. We report a case that we encountered and discuss the diagnosis and disease management in addition to a review of the literature.