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Table 1 Summary of the reported cases of primary synovial sarcoma in the gastrointestinal tract

From: Monophasic synovial sarcoma presenting as a primary ileal mass: a case report and review of the literature

Author, year, reference

Location

Presenting symptoms

Age, years

Gender

Size, cm

Gross features

Histologic type

Translocation

Treatment

Status and follow-up, months

Palmer et al. 1983 [16]

Esophagus

Dysphagia

75

F

2.5

Polypoid

Biphasic

-

S+Rad

DOD, 24

Amr et al. 1984 [17]

Esophagus

Dysphagia

25

M

5

Polypoid

Biphasic

-

S+Rad

AWOD, 36

Bloch et al., 1987 [18]

Esophagus

Dysphagia, dyspnea

15

M

7

Polypoid

Biphasic

-

S+Rad

AWOD, 36

Pulpiero et al., 1988 [19]

Esophagus

 

24

M

  

Biphasic

-

S

NR

Caldwell et al., 1991 [20]

Esophagus

 

29

F

  

NR

-

S+Rad+Chemo

AWOD, 195

Perch et al., 1991 [21]

Esophagus

 

15

M

  

Biphasic

-

S+Rad

AWOD, 5 to 6 years after surgery

Antón-Pacheco et al., 1996 [22]

Esophagus

Dysphagia, weight loss

14

F

7

Polypoid

Biphasic

-

S+Chemo+Rad

AWOD, 30

Habu S et al. 1998 [23]

Esophagus

Sensation of something stuck in the throat

20

M

8

Polypoid

Biphasic

-

S+Chemo+Rad

AWOD, 20

Bonavina et al., 1998 [24]

Esophagus

Achalasia

63

F

 

Polypoid

NR

-

-

-

Billings et al., 2000 [25]

Gastroesophageal junction

Incidental finding for pyloric stenosis

47

M

5.2

Polypoid

Biphasic

t(X; 18)

S

AWOD, 21

Billings et al., 2000 [25]

Stomach

Abdominal pain, nausea, vomiting and rectal bleeding

55

F

16

Spherical, intramural

Biphasic and PDSS

t(X; 18)

S

DOD, 6

Chan et al., 2004 [26]

Jejunum

Epigastric pain, vomiting and fever

28

M

15

Polypoid, intramural

Monophasic

t(X; 18), SSX2

S

DOD, 1

Butori et al., 2006 [27]

Esophagus

Dysphagia

72

F

11

Polypoid

Biphasic

t(X; 18)

S+Chemo

6

Akhunji et al., 2007 [28]

Stomach

Epigastric pain

42

M

11

 

Biphasic

t(X; 18)

S+Chemo

DOD, 24

Parfitt et al., 2007 [29]

Colon

Rectal bleeding

32

M

2

Polypoid

Monophasic

t(X; 18)

S

5

Schreiber-Fracklam et al., 2007 [30]

Distal duodenum

Abdominal pain

39

F

5

Polypoid

Monophasic

t(X; 18), SSX2

S+Chemo

Recurrence 8 months after surgery

Makhlouf et al., 2008 [32]

Stomach

 

67

F

0.8

 

Monophasic

t(X; 18)

S

AWOD, 12

Makhlouf et al., 2008 [32]

Stomach

 

49

M

2

 

Monophasic with a poorly differentiated component

t(X; 18)

S

DOD, omental metastasis, 29

Makhlouf et al., 2008 [32]

Stomach

 

68

F

2

 

Monophasic

t(X; 18)

S

AWOD, 22

Makhlouf et al., 2008 [32]

Stomach

 

29

M

2.8

 

Monophasic

t(X; 18)

S

AWOD, 224

Makhlouf et al., 2008 [32]

Stomach, gastrodudenal junction

 

54

F

3

 

Monophasic

t(X; 18)

S

Recent case

Makhlouf et al., 2008 [32]

Stomach

 

58

F

3

 

Monophasic

t(X; 18)

S

AWOD, 21

Makhlouf et al., 2008 [32]

Stomach

 

37

F

4

 

Monophasic

t(X; 18)

S

Local recurrence, re-excised. DOC 48

Makhlouf et al., 2008 [32]

Stomach

 

50

M

6

 

Monophasic

t(X; 18)

S+Chemo

Alive with recurrence, 6

Makhlouf et al., 2008 [32]

Stomach

 

42

M

8

Polypoid

Biphasic

t(X; 18)

S+Chemo

DOD, 25

Makhlouf et al., 2008 [32]

Stomach

 

66

F

15

Polypoid

Monophasic

t(X; 18)

S

Lost to follow-up

Company et al., 2009 [31]

Proximal duodenum

Weight loss asthenia anorexia, nausea, epigastric pain

69

F

8

Spherical, intramural

Monophasic

t(X; 18)

S

Died due to complications, 1

Present case, 2010

Ileum

Abdominal pain, distension and heaviness

39

F

8

Intramural

Monophasic

-

S

AWOD, 6

  1. The second case reported by Billings [25] could represent a metastatic focus of a primary neck tumor as it showed the same histopathological features.
  2. AWOD = alive without evidence of disease; AWD = alive with residual disease; Chemo = chemotherapy; DOC = died of other cause; DOD = died of disease; NR = not reported; Rad = radiotherapy; S = surgery; SSX = synovial sarcoma-associated fusion transc; PDSS = Poorly difrentiated synovial sarcoma