Synoviosarcoma of arm in 4-month-old infant reconstructed with sensate free anterolateral thigh flap

{Figure 3} Immunohistochemical examination of the excised specimen revealed the spindle cells in whorls, glandular pattern and vimentin and TLE-1(Transducin Like Enhancer split -1) positive[6] [Figure 3] confirming the pre-operative pathology study as synovial sarcoma – monophasic. Tumour margins were declared free. [...]tumour board of our institution declared no need for any adjuvant therapy. Despite the aggressive nature of tumour, a well-executed wide local excision with single-stage reconstruction with free flap can be a good choice for these uncommon malignant tumours occurring in the infants.