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Poorly Differentiated Synovial Sarcoma of the Lumbar Spine in a Fourteen-Year-Old GirlA Case Report
Carl E. Barus, MD1; Robert D. Monsey, MD3; Alexandra N. Kalof, MD2
1 University of Vermont/Fletcher Allen Health Care, 111 Colchester Avenue, Burlington, VT 05401
3 Department of Orthopaedics and Rehabilitation, University of Vermont College of Medicine, 95 Carrigan Drive, Stafford Hall, Burlington, VT 05405. E-mail address: Robert.Monsey@uvm.edu
2 Department of Pathology, University of Vermont/Fletcher Allen Health Care, 111 Colchester Avenue, Burlington, VT 05401
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2009 Jun 01;91(6):1471-1476. doi: 10.2106/JBJS.H.00549
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Synovial sarcoma is a highly malignant soft-tissue tumor of mesenchymal origin that accounts for approximately 5.8% to 10% of all soft-tissue sarcomas1,2. Nearly 90% of these tumors are discovered in an extremity, with the majority involving the lower limbs1-3. Synovial sarcoma within the lumbar spine has been mentioned in only a handful of reports in the English-language literature4-9, typically as part of a case series or as the subject of study for various imaging modalities. Occurrence in the pediatric population at this location is even rarer. The purpose of the present report is to describe the case of a fourteen-year-old girl with lumbar synovial sarcoma and to document the treatment algorithm that was used. The patient was informed that data concerning the case would be submitted for publication, and she consented.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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