Background: Soft tissue sarcoma are rare among which synovial sarcoma account for 5-10% of all soft tissue sarcoma. Case report: This case corresponds to a 55 year old male patient presented to surgery OPD with swelling over nape of neck for 1 year. Contrast CT showed well defined heterogeneously enhancing lobulated mass lesion of size 38x51x60mm. FNAC revealed malignant spindle cell lesion. Histopathology of excised specimen showed malignant round/spindle cell neoplasm. Immunohistochemistry was done and was suggestive of synovial sarcoma of nape of neck. Discussion: Numerous spindle cell lesion can present along nape of neck. Surgery is considered mainstay of management of synovial sarcoma. More advanced diseases requires combined treatment with adjuvant radiotherapy.In this casepatient is now undertaking adjuvant external beam radiotherapy.
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