Background: Synovial sarcoma is a known soft tissue malignancy that affects mainly the extremities while it is rare in the head and neck region and rarest in the inferior nasal turbinate, to our knowledge, no cases particularly in the inferior nasal turbinate have been reported to date. Case Reports: We managed a patient with synovial sarcoma who presented with epistaxis, right nasal obstruction and right inferior nasal turbinate mass. Endoscopic nasal biopsy and immunohistochemistry markers confirmed synovial sarcoma. As an early stage of inferior nasal turbinate synovial sarcoma, our patient was managed by endoscopic nasal surgery only. He was observed with close follow-up for 11 months and he had no signs of recurrence after his operation. Conclusion: Sino nasal sarcomas are rare aggressive and carry a poor prognosis. For the early stage, surgical resection is the best treatment modality. Close follow-up is warranted for the optimal outcome.
Keywords: Sino nasal sarcomas, Synovial sarcoma, malignancy, inferior nasal turbinate