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Chondrosarcoma scapulectomy

Alessio Biazzo, Massimiliano De Paolis, Davide Maria Donati
Scapulectomy and limb-salvage surgery are indicated for low and high-grade tumors of the scapula and soft-tissue sarcomas that secondary invade the bone. After total or partial scapulectomy there are 3 options of reconstruction: humeral suspension (flail shoulder), total endoprosthesis and massive bone allograft. Nowadays prosthesis and allograft reconstructions are the most used and humeral suspension is reserved only as salvage technique when no other surgery is possible. Several studies reported dislocations and wound infections as the most frequent complications of scapular prosthesis, account for 10-20%...
October 8, 2018: Acta Bio-medica: Atenei Parmensis
Bradley Schoch, Thomas Shives, Bassem Elhassan
Scapulectomy can dramatically alter glenohumeral function and the ability of patients to conduct activities of daily living. In oncologic cases, treatment of the tumor can compromise local musculature, making successful reconstruction difficult to achieve. Depending on the resection level, local musculature may be inadequate to restore shoulder range of motion and/or glenohumeral stability. Surgeons have attempted to address these issues via soft-tissue repairs, allograft replacement, and prosthetic replacement, with variable success...
June 2016: Journal of the American Academy of Orthopaedic Surgeons
Stephan E Puchner, Joannis Panotopoulos, Rudolf Puchner, Reinhard Schuh, Reinhard Windhager, Philipp T Funovics
PURPOSE: Primary malignant bone tumours of the scapula are very rare. Apart from limited small series and some case reports, international literature on flat bone sarcoma is exiguous and not much is known about the oncological outcome. METHODS: A retrospective analysis of 29 patients diagnosed with a primary malignant tumour of the scapula was performed. The mean age was 40 years. The average time of follow-up was 60 months. Diagnoses included chondrosarcoma in 11 patients, Ewing's sarcoma/PNET in six, osteosarcoma in three, and others in nine...
October 2014: International Orthopaedics
L Xie, Tang X D, R L Yang, W Guo
We retrospectively reviewed the outcomes of 33 consecutive patients who had undergone an extra-articular, total or partial scapulectomy for a malignant tumour of the shoulder girdle between 1 July 2001 and 30 September 2013. Of these, 26 had tumours which originated in the scapula or the adjacent soft tissue and underwent a classic Tikhoff-Linberg procedure, while seven with tumours arising from the proximal humerus were treated with a modified Tikhoff-Linberg operation. We used a Ligament Advanced Reinforcement System for soft-tissue reconstruction in nine patients, but not in the other 24...
May 2014: Bone & Joint Journal
Vincenzo Montinaro, Sarah E Boston, Paolo Buracco, William T N Culp, Giorgio Romanelli, Rod Straw, Stewart Ryan
OBJECTIVE: To report signalment, clinical signs, preoperative staging tests, histologic diagnosis, surgical, and oncologic outcomes including postoperative limb use, in dogs with scapular tumors treated by scapulectomy. STUDY DESIGN: Retrospective case series ANIMALS: Dogs (n = 42) with scapular tumors. METHODS: Medical records (1995-2010) from 6 hospitals were searched for dogs with scapular tumors treated by scapulectomy...
November 2013: Veterinary Surgery: VS
Ben S Clarke, Laurent Findji
CASE DESCRIPTION: A 10-year-old neutered male domestic shorthair cat was admitted for treatment of a mass affecting the right scapula. CLINICAL FINDINGS: A firm soft tissue mass located over the craniolateral aspect of the right scapula was evident during palpation. The mass extended close to the shoulder joint but did not cause lameness of the affected limb. TREATMENT AND OUTCOME: Examination of a biopsy specimen obtained from the mass indicated chondrosarcoma...
August 1, 2012: Journal of the American Veterinary Medical Association
Andreas F Mavrogenis, Juan David Valencia, Carlo Romagnoli, Giovanni Guerra, Pietro Ruggieri
OBJECTIVE: We present the incidence and management of bone tumors of the coracoid process and discuss the related clinical and imaging findings and treatment. MATERIALS AND METHODS: We present 21 patients (7 males and 14 females; mean age, 39 years) treated for bone tumors of the coracoid process from 1900 to 2010. Mean follow-up was 44 months (range, 12-132 months). Clinical presentation, imaging, surgical treatment, complications, range of shoulder motion, and Musculoskeletal Tumor Society (MSTS) function were evaluated...
November 2012: Journal of Shoulder and Elbow Surgery
David Pescador, Juan Blanco, Carolina Corchado, Marcelo Jiménez, Gonzalo Varela, German Borobio, María Asunción Gómez
INTRODUCTION: The scapula is one of the most common locations for chondrosarcomas. They may have a primary or secondary origin, and they can be due to a degeneration of benign lesions or be secondary to radiotherapy. The surgical treatment presents good survival rates, if safety margins are preserved. PRESENTATION OF CASE: We present the case of a chondrosarcoma of the scapula secondary to a radiodermatitis that required a modified total scapulectomy with a latissimus dorsi flap...
2012: International Journal of Surgery Case Reports
Saminathan Suresh Nathan, Edwin Ravanzo Guerzon, Kishore Bhavanam, Lay Hong Tan, Khin Zarchi, Barry P Pereira
PURPOSE: To evaluate host-implant integration with collagen membranes in 14 patients who underwent limb salvage surgery for musculoskeletal oncological disease. METHODS: 8 females and 6 males aged 10 to 69 (mean, 30) years underwent limb savage surgery with collagen membranes (Tutomesh; Tutogen Medical, Germany) for osteosarcoma (n=7), chondrosarcoma (n=3), giant cell tumour (n=1), malignant fibrous histiocytoma (n=1), arteriovenous malformation (n=1), and pigmented villonodular synovitis (n=1)...
August 2011: Journal of Orthopaedic Surgery
I Kofránek, Z Matejovský
The Tikhoff-Linberg procedure represents one of the possibilities for treatment of extensive bone and soft tissue tumors in the shoulder region, and is a limb saving alternative to interscapulothoracic amputation. This procedure includes a resection of the proximal part of the humerus, a total scapulectomy, and a total or partial excision of the clavicula. The authors operated by this method in a time period of 26 years on eight patients. The diagnoses of operated bone tumors were three osteosarcomas, three chondrosarcomas, one fibrosarcoma and one clinically solitary metastasis...
1999: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Anthony M Griffin, Mahmood Shaheen, Robert S Bell, Jay S Wunder, Peter C Ferguson
BACKGROUND: The scapula is a common site for chondrosarcoma to occur. There has been disagreement between recent studies documenting the oncologic outcomes in patients with chondrosarcoma of the scapula. The purpose of this study was to investigate both the oncologic and functional outcomes of patients presenting to a large oncology center with primary chondrosarcoma of the scapula. METHODS: A review of our prospectively collected database was carried out. All patients in the years 1989 to 2004 undergoing surgical resection of primary chondrosarcoma of the scapula were included...
August 2008: Annals of Surgical Oncology
C Norton, C M Drenen, S G Emms
The medical records of six dogs treated by sub-total scapulectomy for tumours involving the scapula were reviewed. The mean age of dogs in this study was 8 years and 4 months. Clinical signs on presentation included lameness of the affected forelimb and a palpable mass over the scapular area on physical examination. Pre-operative chest and affected forelimb radiographs were taken in most cases in addition to a biopsy. Subtotal scapulectomy was performed, ensuring margins clear of neoplastic tissue of at least 2 cm, preservation of the glenoid cavity and thus retention of the scapulo-humeral joint...
October 2006: Australian Veterinary Journal
N Mayil Vahanan, P Mohanlal, J C Bose, R Gangadharan, V Karthisundar
Twenty-five patients underwent scapulectomy for various tumours between 1989 and 2005. We describe 23 patients with scapular tumours who were followed-up for a minimum of 2 years after scapulectomy. The average age was 29 years, and two-thirds of the patients were male. Nineteen patients had malignant neoplasms, of which chondrosarcoma was most common, followed by Ewing's sarcoma. Surgical staging was by Enneking's system, with stage IIB being the most frequent. Fifteen patients underwent total scapulectomy, and the rest had their glenoid retained...
December 2007: International Orthopaedics
Yolanda Hernanz González, Javier Salamanca, Carlos Resines Erasun, Francisco José Martínez-Tello
We report a patient with simultaneous presentation of two histologically grade 2 conventional chondrosarcomas non-derived from pre-existing cartilaginous lesions, in the absence of pulmonary or visceral involvement. One tumour was located at the right proximal femur and the other one at the right scapula. There was no evidence of local recurrence or pulmonary or visceral involvement three years and a half after total scapulectomy and resection of the proximal third of the femur. To the best of our knowledge, this is the first report of a patient with two non-monomelic synchronous chondrosarcomas arising in two previously normal bones of the skeleton...
April 2005: Acta Orthopaedica Belgica
Michaela M Schneiderbauer, Charlene Blanchard, Rachel Gullerud, William S Harmsen, Michael G Rock, Thomas C Shives, Franklin H Sim, Sean P Scully
This is the first report of a large series of patients with scapular chondrosarcomas. The grade distributions, locations of the tumors in the scapula, surgical techniques, status of margins, chondrosarcoma subtypes, Enneking stages, adjuvant therapies, local recurrence rates, metastasis rates, and survival prognoses of patients with scapular chondrosarcoma were evaluated. Forty-seven patients treated between 1921 and 1999 were analyzed retrospectively. Grade 3 disease was significantly associated with a poorer survival prognosis when compared with Grades 1 or 2 disease...
September 2004: Clinical Orthopaedics and related Research
P Clavert, F Bonnomet, P Gicquel, Y Lefebvre, S Babin, J F Kempf
We report the case of a young man with Ollier's disease who underwent three successive procedures for sarcomatous degeneration of some of his endochondromatous lesions. From the age of twenty, the patient required surgery for resection of a cartilage tumor of the body of L5, amputation of the right index finger, and successive right then left subtotal scapulectomy. At 40 years, the patient presents other stable lesions, mainly located on the right side of the body. We were particularly interested in the functional outcome of the two shoulders in this patient who continues to have normal social and occupational activities...
May 2001: Revue de Chirurgie Orthopédique et Réparatrice de L'appareil Moteur
C L Gibbons, R S Bell, J S Wunder, A M Griffin, B O'Sullivan, C N Catton, A M Davis
We describe the functional results in 14 patients (7 men, 7 women) after subtotal scapulectomy for primary bone and soft-tissue tumours at a specialist musculoskeletal oncology unit. Eight had chondrosarcomas, two Ewing's sarcomas, one aggressive fibromatosis and three soft-tissue sarcomas. The mean follow-up was 52 months (6 to 120). Analysis of residual symptoms and of range and strength of movement by physicians used the Musculoskeletal Tumour Society rating scale (MSTS). Physical disability was measured by the patients using the Toronto Extremity Salvage Score (TESS)...
January 1998: Journal of Bone and Joint Surgery. British Volume
N E Makhson, A N Makhson
The paper deals with analysis of data on 37 cases of scapular neoplasms who had undergone such radical function--saving surgery as interscapular-thoracic resection ( Tikhov - Linberg 's operation) (27) or scapulectomy (10). Modifications of both procedures developed by the authors are described. Their application was followed by an improved functional status as compared with other surgical procedures. Oncological status of 30 cases of primary scapular malignancies is discussed: 23 patients were recurrence- and metastasis-free during a follow-up period of 10 months-18 years (21 patients were operated on more than 5 years ago)...
1984: Voprosy Onkologii
T K Das Gupta
No abstract text is available yet for this article.
April 1970: Surgery
L Gáspár, K Szepesi, A Mandi, I Mórocz
Authors describe the frequency of bone tumours in the shoulder region and the anatomical characteristics of this region, that are important, regarding tumour surgery. Six cases are reported in whom resection was performed for malignant, semimalignant and benign bone tumours. In their material one primary and two secondary chondrosarcomas, one Ewing's sarcoma, one osteoclastoma and one benign chondroblastoma were found. Follow-up range was 3-7 years. In two patients partial and total scapulectomy was performed, in the later the proximal end of the humerus was resected only, in three of them endoprosthesis was given, and in one case the missing bone was replaced with a fibular graft...
1989: Magyar Traumatológia, Orthopaedia és Helyreállító Sebészet
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