Primary synovial sarcoma of the shoulder: Case report of the "triple sign" on proton density magnetic resonance imaging.

ABSTRACT: The first case of synovial sarcoma was published in 1893. The disease is a type of primary malignancy of the soft tissues. It is a rare and aggressive neoplasm of unknown tissue origin, characterized by strong metastatic potential and poor prognosis. The present case of a 64-year-old male patient with pain and swelling in his right shoulder and progressive loss of movement demonstrates an uncommon location for the neoplasm. Magnetic resonance proton-density fat-suppressed turbo spin-echo sequences show a heterogeneous mass in the right shoulder. The lack of homogeneity in the signal has been described in medical literature as the "triple sign" and is represented by low, intermediate, and high signal intensity areas through the neoplasm. Visible serpentine vessels spread through the tumor.

SUBMITTER: Georgiev AA 

PROVIDER: S-EPMC9813573 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature