CancerMail from the National Cancer Institute

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 *                                CANCER FACTS                                *
 *                          National Cancer Institute                         *
 *                        National Institutes of Health                       *
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Synovial Sarcoma


                                      
Synovial sarcoma, also called synovioma, is a rare cancer that
begins in synovial tissue. Synovial tissue can be found in tendons
(tissues that connect muscle to bone), bursae (fluid-filled,
cushioning sacs found in spaces between tendons, ligaments, and
bones), and the cavity (hollow enclosed area) that separates the bones
of a freely movable joint, such as the knee or elbow.
   
Synovial sarcomas occur mainly in the arms and legs, where they tend
to arise in the area of large joints, especially the knee region. Less
frequently, the disease develops in the head and neck and in the
trunk. This cancer occurs mostly in adolescents and young adults, and
it affects more males than females.
   
The most common symptom of synovial sarcoma is a deep-seated
swelling or a mass that may be accompanied by pain or tenderness. In a
few cases, pain or tenderness is present for several years even though
a mass cannot be felt. These cases can be easily mistaken for
arthritis, bursitis, or synovitis. Sometimes synovial sarcoma causes
other symptoms related to the location of the tumor. The
diagnosis of synovial sarcoma is made by biopsy (removal of
tissue for examination under a microscope).
   
The type of treatment selected depends on the extent (stage) of
the disease and the location of the sarcoma. The most common treatment
for this type of cancer is surgery to remove the entire tumor,
nearby muscle, and lymph nodes. Some patients have radiation,
chemotherapy, or a combination of treatment methods.
Biological therapy (treatment to stimulate or restore the ability
of the immune system to fight the disease) and new types of
chemotherapy are currently being studied in clinical trials.
   
Synovial sarcoma tends to recur locally and to involve regional
lymph nodes. Distant metastasis (spreading to other areas of the
body) occurs in about one-half of the cases, sometimes many years
after the initial diagnosis.
   
Information about ongoing clinical trials is available from the Cancer
Information Service (see below), or on the clinical trials page of the
National Cancer Institutes Cancer.gov Web site at
http://cancer.gov/clinical_trials via the Internet. At this Web
site, trials for patients with synovial sarcoma are included with
sarcoma, soft tissue, adult and sarcoma, soft tissue, childhood.
   

This fact sheet was reviewed on 8/24/98

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Date Last Modified: 08/1998


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