Synovial Sarcoma of the Neck

The paper describes the case of a 60-year-old male patient with a mass in the left jugulodigastric area, which was later identified as synovial sarcoma. Differential diagnoses such as cystic lesions, metastatic lymph nodes, and salivary gland tumors were considered. The characteristics of various tumors were discussed, including their imaging features on CT and MRI scans. Synovial sarcoma, a rare malignant tumor, was found to present as a well-circumscribed, ovoid, hypodense lesion with heterogeneous enhancement on CT. The importance of accurate diagnosis and imaging modalities in guiding treatment decisions and achieving early detection was emphasized. The importance of this case lies in the accurate diagnosis and management of synovial sarcoma, a rare malignant tumor. Early detection through imaging modalities like CT and MRI is crucial for timely intervention and treatment planning. Understanding the imaging characteristics of synovial sarcoma helps differentiate it from other lesions, leading to appropriate surgical resection and improved patient outcomes. </p

Vocal Fold Hyperplastic Lesions: an Evaluation of Surgical Outcome with Videolaryngostroboscopy

Background: Vocal fold hyperplastic lesions are premalignant lesions that can be treated effectively by removal of the lesions surgically. Aims: The aim of this study was to discuss the success of surgery in patients with vocal fold hyperplastic lesions in terms of preserving vibratory function by comparing the preoperative and postoperative videolaryngostroboscopy findings. Study Design: The medical charts and videolaryngostroboscopic recordings of patients diagnosed with hyperplastic lesions on the vocal folds were reviewed retrospectively. Methods: Twenty seven patients with unilateral lesions who underwent type1 subepithelial cordectomy were enrolled in the study. The videolaryngostroboscopic recordings were evaluated by three raters who were not the operating surgeon and who were blinded to the histology of patients. To evaluate the videolaryngostroboscopic findings, a form, which is a modification of criteria described by Hirano and Bless, was used. Preoperative and 6th month postoperative videolaryngostroboscopic recordings were compared with each other and with recordings of the control group, which included 50 healthy volunteers. Results: All videolaryngostroboscopic findings, except false cord vibration, were significantly improved after surgery. Conclusion: The principle of vocal fold surgery in patients with benign lesions is to preserve the vibratory tissue. This principle also applies to patients with hyperplastic lesions that are premalignant. The hydrodissection technique may be beneficial for this purpose