Synovial Sarcoma Specialist Surgeon Singapore

Precision Resection and Sentinel Node Surveillance 

We manage synovial sarcoma as a deceptive malignancy that often presents in young adults after years of dormancy. Under the clinical direction of Dr. Saminathan Suresh Nathan, we focus on the specific genotype nuances (SYT-SSX) that dictate prognosis. Unlike most soft tissue sarcomas, we maintain high vigilance for lymphatic spread, utilizing specialized surveillance techniques to ensure systemic control alongside radical local resection.

Surgical Considerations

• Sentinel Lymph Node Biopsy: Employing nodal surveillance for synovial sarcoma, which has a higher propensity for lymphatic metastasis than other soft tissue subtypes.

• Joint-Adjacent Dissection: Specialized techniques for resecting tumors near joint capsules without violating the joint space, preserving articular function.

• Long-Term Monitoring: Given the "slow-growing" nature often reported by patients, we enforce a strict 10-year surveillance window to catch late local or systemic failures.