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Primary monophasic synovial sarcoma of the conjunctiva
  1. M Votruba1,2,
  2. J Hungerford1,
  3. P G S Cornes3,
  4. D Mabey4,
  5. P Luthert5
  1. 1Moorfields Eye Hospital, City Road, London EC1V 2PD, UK
  2. 2Department of Molecular Genetics, Institute of Ophthalmology, Bath Street, London EC1V 9EL, UK
  3. 3Institute of Cancer Research, Cotswold Road, Sutton, Surrey, SM2 5NG, UK
  4. 4Ophthalmology Department, Guy’s and St Thomas’ Hospital, Lambeth Palace Road, London SE1 7EH, UK
  5. 5Department of Pathology, Institute of Ophthalmology, Bath Street, London EC1V 9EL, UK
  1. Correspondence to: Dr Marcela Votruba, Department of Molecular Genetics, Institute of Ophthalmology, Bath Street, London EC1V 9EL, UK; m_votruba{at}altavista.co.uk

https://doi.org/10.1136/bjo.86.12.1453

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    Synovial sarcoma is a malignant mesenchymal tumour, which makes up to 10% of all soft tissue sarcomas. It most often affects young adults and is commonly found in periarticular sites of the extremities. It may occur at other locations, including head and neck, heart, abdominal wall, mediastinum, and lung. Synovial sarcomas of the head and neck are rare, making up only 10% of all synovial sarcomas, and typically localising to the hypopharynx or parapharyngeal space. We report a first case of primary monophasic synovial sarcoma of the conjunctiva in a 29 year old man with no significant medical history, who developed an enlarging conjunctival lesion at the medial canthus of the right eye.

    Case report

    A 29 year old man presented with a 4 month history of a growing mass in the conjunctiva at the medial canthus of the right eye. Gross appearance was of …

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