Majority of esophageal malignancies are Adenocarcinoma and squamous cell carcinoma. Other histologies such as melanoma, sarcoma, and lymphoma may exist. Among the sarcomas, synovial sarcomas are a rare entity of malignant mesenchymal tumors and less than ten cases of primary synovial sarcoma of the esophagus have been reported worldwide. We report a 28 year old man with primary synovial sarcoma of esophagus that underwent surgery and chemotherapy followed by radiotherapy. He was disease - free for 4 months. He died soon afterwards due to lung metastasis. This case survived about 18 months
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