What is the most likely diagnosis?
- 18 year-old with slow-growing mass in foot

Frontal radiograph of the foot
- Pigmented Villonodular Synovitis
- Gout
- Synovial Chondromatosis
- Synovial Sarcoma
- Renal Cell Carcinoma
Additional Images - None

Additional Images
None

Answer:
4. Synovial Sarcoma
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Synovial Sarcoma
General Considerations
- Middle-aged and older adults
- Most frequent presentation: painful
swelling of the knee
- Predisposition for lower extremity
- It is a malignancy
- Can occur at any age
- Usually third and fourth decades
- Usually are extra-articular