GUANGZHOU YOU-HAO HOSPITAL ONCOLOGY CENTRE

GUANGZHOU YOU-HAO HOSPITAL ONCOLOGY CENTRE

廣州友好醫院腫瘤综合治療中心

Treated Cases.

Case Study : Synovial Sarcoma

Name: Ms Li

Diagnosis upon admission: Synovial Sarcoma

Age: 25

Country: Indonesia.

Diagnosis upon admission: Synovial Sarcoma

Case history:

2004 Accidentally discovered a lump on the inner side of the right thigh. Did not pay much attention to it.

2005 September after travelling, noticed that the right limb was swollen.

Shenzhen hospital B-ultrasound examination:size of growth was 9.3*7.3*7.3cm

2006 January MRI exams confirmed malignant tumour.

2006 February Singapore General Hospital needle biopsy:well differentiated synovial sarcoma.

Immunohistology: Keratin (+), EMA(+), calponin (+). 4 rounds of chemotherapy

with resulting hair loss, gastrointestinal reactions, inhibition of bone function.

2006 May 30 MRI re-examination: Tumour size about 14.6*11.4*8.2.

Diagnosis upon admission to You Hao Hospital:

Both thighs are not symmetrical. Right thigh has local swelling, veins were prominent.

A tumour of size 15*12cm could be felt on the inner side of the right thigh of little mobility, hard,

no pain when pressed, non fluctuating, 27 cm from the inferior margin of the

hip bone measurement of circumference of right thigh was 59.5 cm, left thigh 53.5cm, no water retention in both lower limbs.

Course of treatment:

HIFU treatment for the tumour, I 125 brachytherapy - short range interstitial radiation - for the synovial sarcoma.

2006 July 16 right thigh had gone done in size, the circumference was 56cm, was softer,

no other unusual symptoms. Discharged from hospital.

2006 aug 18 Underwent I 125 brachytherapy - short range interstitial radiation treatment at the hospital

for strengthening the treatment.

Condition after treatment:

2007 January 16 Came back to hospital for re-examination. No unusual symptoms. 27 cm from the inferior

margin of the hip bone measurement of right thigh was 54.5cm. Now leading a good normal working life.