A Case of Synovial Sarcoma Reconstructed Femoral Artery and Vein at Wide Resection

Abstract

A 20 year-old woman with a recurrent tumor was admitted to the Fukuoka University Hospital in October 1995 with 4-year history of each resection for a primary tumor and twice recuring tumors in the left quadriceps at another hospital. The recurrent tumor diagnosed as biphasic type synovial sarcoma involved the femoral artery, vein, and nerve in the left femoral triangle. So it is suspected that MRI demonstrated not only a lesion of the left femoral triangle but also a small lesion of the left vastus lateralis. A curative wide resection of the entire left quadriceps and the left femoral neurovascular band was performed in November 1995. Consequently, the left femoral artery and vein were reconstructed by artificial vessels. After the reconstruction, massive skin necrosis of the left thigh and obstruction of the reconstructed artery wee occured. Rectus abdominal graft for massive skin necrosis and reconstruction for obstruction of the reconstructed artery were then performel. She has been disease-free. 4 years after the last resection.