case_images: PMC11001469_01
case_images: (a) Coronal and (b) axial images of the left-sided neck lump at the time of diagnosis. It measures 2.3 x 3.1 x 4.0 cm.
case_images: CRIOT2024-7574240.001.jpg
case_images: PMC11001469_01_CRIOT2024-7574240.001.jpg
case_images: fig1
case_images: The latter showed a nonspecific 2.3 x 3.1 x 4.0 cm cystic lesion with solid components in the left submandibular fossa (see Figure 1).
case_images: Histopathology and immunochemistry analysis of surgical specimen. (A-C) Histologic appearance of tumour, with biphasic morphology, (D-I) immunohistochemical profile, and (J) FISH* SS18 dual colour break apart rearrangement probe (Vysis).
case_images: CRIOT2024-7574240.002.jpg
case_images: PMC11001469_01_CRIOT2024-7574240.002.jpg
case_images: fig2
case_images: Interphase fluorescence in situ hybridisation (FISH) showed a signal pattern consistent with SS18 rearrangement, confirming the diagnosis of a biphasic synovial sarcoma (Figure 2).
case_images: (a) The surgical field at the completion of the partial laryngectomy and left I-IV neck dissection, showing preservation of cranial nerves XI and XII. (b) The resected surgical specimen.
case_images: CRIOT2024-7574240.003.jpg
case_images: PMC11001469_01_CRIOT2024-7574240.003.jpg
case_images: fig3
case_images: An elective left-level I-IV neck dissection was also performed (see Figure 3), and a covering tracheostomy was placed.