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Year : 2013  |  Volume : 9  |  Issue : 1  |  Page : 102-104

Intra-abdominal primary monophasic synovial sarcoma with hemangiopericytoma-like areas

1 Department of Pathology, Basic Sciences Block, Manipal, Karnataka, India
2 Department of Surgery, Kasturba Hospital, Madhav Nagar, Manipal University, Manipal, Karnataka, India

Correspondence Address:
Padmapriya Jaiprakash
Department of Pathology, Basic Sciences Block, Kasturba Medical College, Madhav Nagar, Manipal University, Manipal, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-1482.110393

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We report a case of retroperitoneal intra-abdominal primary monophasic synovial sarcoma (SS) with hemangiopericytomatous (HPC) pattern in a 25-year-old male arising from the triangular ligament on the superior surface of liver encasing the inferior vena cava (IVC) and masquerading as a hepatic tumor. A large heterogeneously enhancing, well defined, lobulated, exophytic lesion was seen involving segment VIII of the liver with foci of calcification in the periphery. A biopsy, followed by total resection of the tumor, showed a spindle cell sarcoma with HPC pattern, which was consistent with monophasic SS on histology and immunohistochemistry. The unusual clinical presentation, radiology, pathology, and differential diagnosis will be discussed in detail.

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