China's  Advanced  Therapies
Hospital for Cancer
Case Study 2:
Synovial Sarcoma

Name: Ms Li
Diagnosis upon admission: Synovial Sarcoma
Age:    25
Country: Indonesia.

Diagnosis upon admission:
Synovial Sarcoma
Case history:

2004 Accidentally discovered a lump on the inner side of the
right thigh. Did not pay much attention to it.
2005 September after travelling, noticed that the right lower
limb was swollen. Shenzhen hospital
B-ultrasound
examination:size of growth was
9.3*7.3*7.3cm
2006 January
recurrence of stronger symptoms. MRI
examination: Huge soft tissue growth on the inner side of the
right thigh - size about
11.7*8.6*11.1cm. Considered as
malignant tumour.
2006 February Singapore General Hospital needle biopsy:
well differentiated synovial sarcoma. Immunohistology: Keratin
(+), EMA(+), calponin (+). 4 rounds of chemotherapy  with
resulting hair loss, gastrointestinal reactions, inhibition of bone
function.
2006 May 30 MRI re-examination: Tumour size about
14.6*11.4*8.2. Did not accept doctor's suggestion of
radiotherapy and surgery.

Diagnosis upon admission to You Hao Hospital:
Both thighs are not symmetrical. Right thigh has local swelling,
Veins were prominent on the facies ventralis of the right thigh
and calf. A tumour of size
15*12cm could be felt on the inner
side of the right thigh of little mobility, hard, no pain when
pressed, non fluctuating, 27 cm from the inferior margin of the
hip bone measurement of circumference of right thigh was
59.5
cm, left thigh 53.5cm
, no water retention in both lower limbs.

Course of treatment:
HIFU
treatment for the tumour, I 125 brachytherapy - short
range interstitial radiation
- for the synovial sarcoma.
2006 July 16 right thigh had gone done in size, the
circumference was
56cm, was softer, no other unusual
symptoms. Discharged from hospital.
2006 aug 18 Underwent I 125 brachytherapy - short range
interstitial radiation
treatment at the hospital for strengthening
the treatment.

Condition after treatment:
2007 January 16
Came back to hospital for re-examination. No
unusual symptoms. 27 cm from the inferior margin of the hip
bone measurement of right thigh was
54.5cm. Now leading a
good normal life working.

More to come.....

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We are in the process of collecting data on all the past cases
and having them translated and collated so that you can share
in our proud achievements and in a new hope for a better future.

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