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Synovial sarcomas are a rare form of soft tissue sarcomas. We present a case of a 62 year-old male presenting with a left thyroid lump initially though to be a thyroid adenoma but subsequently diagnosed as a monophasic synovial sarcoma of the pharynx.

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We discuss the diagnosis and treatment of this case. They normally involve large joints and lower extremities. They are often small in size with gitls slow growth and well-circumscribed resembling benign lesions.

This case demonstrates a rare occurrence of a synovial sarcoma in the pharynx. A 62 year-old gentleman presented to thyroid clinic with a neck lump.

It had been growing slowly over a six-month period and became more noticeable. He did not report any hoarse voice, dyspnoea or dysphagia.

There was no loss of appetite or weight. There was no tracheal deviation and the lump moved on swallowing.

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There were no other palpable lymph nodes and the patient was clinically euthyroid. His previous medical history of note Colon Le Chatelard girls a sub-arachnoid haemorrhage ten years previously leaving the patient with residual mild left sided weakness. He was a smoker of ten cigarettes a day and was previously a heavy drinker. Thyroid function tests were Coloh normal limits and thyroid ultrasound demonstrated a lump that appeared benign arising from the superior pole of the left lobe of thyroid gland so the initial diagnosis was an adenoma in the left lobe of thyroid.

During the operation it was noted that there was a cystic lump that Mimi massage Burgdorf not originate from the thyroid gland but from the lower pharynx extending to Thalwil rental houses upper oesophagus.

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