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KMID : 0613319960020010047
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Journal of the Korean Bone and Joint Tumor Soceity
1996 Volume.2 No. 1 p.47 ~ p.53
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Synovial Sarcoma
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Kim Jae-Do
Yoon Young-Min
Son Jeong-Hwan
Hong Young-Gi
Son Young-Chan
Park Jeong-Ho
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Abstract
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Synovial sarcoma is an uncommon malignant soft tissue tumor usually occurs in young-aged person,and frequently involves the lower extremities. Many authors recommended wide exci-sion,adjuvant chemotherapy and radiation therapy. The proposed factors that affect the prognosis are age,size of tumor,site of tumor in the body, depth of tumor, histologic grade and method of treat-ment. The purpose of the study is to analyze the factors that affect the 5-year survival rate. We retrospectively evaluated 19 cases of synovial sarcoma treated in Kosin University Medical Center from Jan. 1982 to Dec.1994. The overall 5-year survival rate was 47.6% and the 5-year survival rates were significantly high-er(P<0.05)in the group with smallersize of mass.The significantly lower 5-year survival rates were observed in the patient with deeply located lesion and with higher histologic grade. The 5-year sur-vival rates were higher in the patients treated with wide excision than in the patients treated with amputation. But there was no significant difference between these groups. The adjuvant chemothera-py and radiotherapy were performed. In conclusion,we suggest that the better prognosis will be observed in the patients with smaller size of tumor mass,superfically located and lower histologic grade.
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KEYWORD
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Synovial Sarcoma, 5-year Survival Rate, Prognostic Factors
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