{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T04:17:04Z","timestamp":1754194624778},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T00:00:00Z","timestamp":1675036800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T00:00:00Z","timestamp":1675036800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Surg Onc"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Synovial sarcoma is a rare soft tissue sarcoma which frequently involves the upper or lower extremities. Soft tissue sarcomas including synovial sarcoma have a propensity to metastasize to the lungs, and there are very few reports of metastatic lesions in other locations.<\/jats:p><jats:p>Here, we report a case of a 49-year-old patient who underwent neoadjuvant chemoradiation for an upper extremity synovial sarcoma and presented approximately 4 years later with abdominal pain and hemoperitoneum and was ultimately found to have metastatic synovial sarcoma involving the greater curvature of the stomach and surrounding peri-gastric soft tissue. We describe the multidisciplinary management of this complex patient presentation and propose that expanded surveillance imaging beyond that of the local tumor resection bed and the chest may be beneficial especially in tumors with high-risk features.<\/jats:p>","DOI":"10.1186\/s12957-023-02885-2","type":"journal-article","created":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T01:03:49Z","timestamp":1675040629000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Synovial sarcoma with intra-abdominal metastasis causing hemoperitoneum: a case-report"],"prefix":"10.1186","volume":"21","author":[{"given":"Joshua J.","family":"Thompson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel A.","family":"Koch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicki L.","family":"Keedy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepa R.","family":"Magge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,1,30]]},"reference":[{"key":"2885_CR1","first-page":"7407","volume":"11","author":"CI Faur","year":"2021","unstructured":"Faur CI, et al. Synovial sarcoma of the extremities: a literature review. Appl Sci (Switzerland). 2021;11:7407.","journal-title":"Appl Sci (Switzerland)"},{"key":"2885_CR2","doi-asserted-by":"publisher","first-page":"e22535","DOI":"10.1200\/JCO.2019.37.15_suppl.e22535","volume":"37","author":"N Joseph","year":"2019","unstructured":"Joseph N, Laurent SS, Nelson JJ, Zheng S, Stirnadel-Farrant H. Incidence and prevalence of synovial sarcoma in the US: an analysis using SEER*Stat. J Clin Oncol. 2019;37:e22535.","journal-title":"J Clin Oncol"},{"key":"2885_CR3","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1200\/JCO.2017.75.1941","volume":"36","author":"S Stacchiotti","year":"2018","unstructured":"Stacchiotti S, Van Tine BA. Synovial sarcoma: current concepts and future perspectives. 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NCCN guidelines insights: Soft tissue sarcoma, version 1.2021. J Natl Compr Canc Netw. 2020;18(12):1604\u201312. https:\/\/doi.org\/10.6004\/jnccn.2020.0058.","journal-title":"J Natl Compr Canc Netw"},{"key":"2885_CR9","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1093\/annonc\/mdq394","volume":"22","author":"AH Krieg","year":"2011","unstructured":"Krieg AH, et al. Synovial sarcomas usually metastasize after >5 years: a multicenter retrospective analysis with minimum follow-up of 10 years for survivors. Ann Oncol. 2011;22:458\u201367.","journal-title":"Ann Oncol"},{"issue":"23","key":"2885_CR10","doi-asserted-by":"publisher","first-page":"e20550","DOI":"10.1097\/MD.0000000000020550","volume":"99","author":"P Guo","year":"2020","unstructured":"Guo P, et al. Treatment of limb synovial sarcoma with metastasis at presentation. 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