intraneural synovial sarcoma of the digital nerve in a hand by jeong hwan kim, hyuk jin lee, ilkyu...
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Intraneural Synovial Sarcoma of the Digital Nerve in a Hand
by Jeong Hwan Kim, Hyuk Jin Lee, Ilkyu Han, Jae Hong Ha, and Goo Hyun Baek
JBJS Case ConnectVolume 4(2):e40
May 30, 2014
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Intraneural Synovial Sarcoma of the Digital Nerve in a Hand by Jeong Hwan Kim, Hyuk Jin Lee, Ilkyu Han, Jae Hong Ha, and Goo Hyun Baek JBJS Case Connect](https://reader036.vdocuments.us/reader036/viewer/2022062805/5697c01c1a28abf838ccffa7/html5/thumbnails/2.jpg)
Initial MRI at the outside hospital showed a tumor on the volar side of the index finger.
Jeong Hwan Kim et al. JBJS Case Connect 2014;4:e40
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Intraneural Synovial Sarcoma of the Digital Nerve in a Hand by Jeong Hwan Kim, Hyuk Jin Lee, Ilkyu Han, Jae Hong Ha, and Goo Hyun Baek JBJS Case Connect](https://reader036.vdocuments.us/reader036/viewer/2022062805/5697c01c1a28abf838ccffa7/html5/thumbnails/3.jpg)
MRI taken at our clinic showed a recurrence of the tumor on the volar side of the index finger.
Jeong Hwan Kim et al. JBJS Case Connect 2014;4:e40
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Intraneural Synovial Sarcoma of the Digital Nerve in a Hand by Jeong Hwan Kim, Hyuk Jin Lee, Ilkyu Han, Jae Hong Ha, and Goo Hyun Baek JBJS Case Connect](https://reader036.vdocuments.us/reader036/viewer/2022062805/5697c01c1a28abf838ccffa7/html5/thumbnails/4.jpg)
Fig. 3 Photograph demonstrating the tumor located in the digital nerve of the index finger.
Jeong Hwan Kim et al. JBJS Case Connect 2014;4:e40
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Intraneural Synovial Sarcoma of the Digital Nerve in a Hand by Jeong Hwan Kim, Hyuk Jin Lee, Ilkyu Han, Jae Hong Ha, and Goo Hyun Baek JBJS Case Connect](https://reader036.vdocuments.us/reader036/viewer/2022062805/5697c01c1a28abf838ccffa7/html5/thumbnails/5.jpg)
Fig. 4 Photograph after excision of the tumor.
Jeong Hwan Kim et al. JBJS Case Connect 2014;4:e40
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Intraneural Synovial Sarcoma of the Digital Nerve in a Hand by Jeong Hwan Kim, Hyuk Jin Lee, Ilkyu Han, Jae Hong Ha, and Goo Hyun Baek JBJS Case Connect](https://reader036.vdocuments.us/reader036/viewer/2022062805/5697c01c1a28abf838ccffa7/html5/thumbnails/6.jpg)
Microscopic examination of the tumor specimen demonstrated a spindle cell neoplasm with moderately increased cellularity and mild-to-moderate nuclear atypia (hematoxylin and eosin
stain; 10× magnification [left], 200× magnification [right]).
Jeong Hwan Kim et al. JBJS Case Connect 2014;4:e40
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Intraneural Synovial Sarcoma of the Digital Nerve in a Hand by Jeong Hwan Kim, Hyuk Jin Lee, Ilkyu Han, Jae Hong Ha, and Goo Hyun Baek JBJS Case Connect](https://reader036.vdocuments.us/reader036/viewer/2022062805/5697c01c1a28abf838ccffa7/html5/thumbnails/7.jpg)
Immunohistochemical staining was focally positive for EMA.
Jeong Hwan Kim et al. JBJS Case Connect 2014;4:e40
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Intraneural Synovial Sarcoma of the Digital Nerve in a Hand by Jeong Hwan Kim, Hyuk Jin Lee, Ilkyu Han, Jae Hong Ha, and Goo Hyun Baek JBJS Case Connect](https://reader036.vdocuments.us/reader036/viewer/2022062805/5697c01c1a28abf838ccffa7/html5/thumbnails/8.jpg)
In the FISH study, an SYT gene translocation was observed.
Jeong Hwan Kim et al. JBJS Case Connect 2014;4:e40
©2014 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Intraneural Synovial Sarcoma of the Digital Nerve in a Hand by Jeong Hwan Kim, Hyuk Jin Lee, Ilkyu Han, Jae Hong Ha, and Goo Hyun Baek JBJS Case Connect](https://reader036.vdocuments.us/reader036/viewer/2022062805/5697c01c1a28abf838ccffa7/html5/thumbnails/9.jpg)
Follow-up MRI at eighteen months after surgery showed no evidence of recurrence.
Jeong Hwan Kim et al. JBJS Case Connect 2014;4:e40
©2014 by The Journal of Bone and Joint Surgery, Inc.