Primary malignant tumours of the scapula—a review of 29 cases

Puchner, Stefan; Panotopoulos, Joannis; Puchner, Rudolf; Schuh, Reinhard; Windhager, Reinhard; Funovics, Philipp T.

doi:10.1007/s00264-014-2417-8

Cited by 39 publications

(30 citation statements)

References 32 publications

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“…The shoulder girdle is comprised of the proximal humerus, scapula, clavicle and the surrounding soft tissues and is the third most common site for bone and soft tissue tumours [ 1 , 2 ]. In a report of 1853 cases of bone cancer, 3.6% ( n = 66) were found to originate from the scapula [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

An epidemiological survey of tumour or tumour like conditions in the scapula and periscapular region

Khan

Gerrish

Grimer

2016

SICOT-J

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Introduction: The scapula is not an uncommon site for bone and soft tissue tumours and can be difficult to delineate on examination. Furthermore, these lesions can be potentially challenging to biopsy due to its close anatomical relationship with important structures. We present an epidemiological survey of all the scapular and periscapular lesions presenting to our institution. Methodology: This was a retrospective study with data obtained from a prospectively held electronic database over a 30-year period. Demographic and clinical data was obtained and various subgroup analyses were performed. Results: A total of 418 scapular lesions were included in the study where 132 lesions were found to be of soft tissue origin and 286 were osseous. Fifty-eight percent (n = 241) of all these lesions were malignant, of which 47% (n = 113) were primary sarcomas. The commonest malignant lesions were bone sarcomas (n = 96) followed by metastases (n = 88). The commonest primary bone sarcoma was chondrosarcoma (45%), whereas the commonest soft tissue sarcoma was high grade undifferentiated pleomorphic sarcoma (18%). The most common benign osseous and soft tissue lesions were osteochondroma (70%) and lipoma (26%), respectively. We noted that the incidence of malignancy increased with increasing age, however, the incidence of primary bone sarcomas was fairly consistent across different age groups. Conclusion: Based on our findings we recommend that suspicious lesions arising from the scapula should be dealt with in a specialist sarcoma unit with involvement of a multidisciplinary team to offer appropriate management and advice for optimum outcome.

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Section: Introductionmentioning

confidence: 99%

An epidemiological survey of tumour or tumour like conditions in the scapula and periscapular region

Khan

Gerrish

Grimer

2016

SICOT-J

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“…Pritsch T et al showed that scapular prostheses, as compared with humeral suspension, had better functional results, 78.5% and 58.5% respectively, and superior cosmesis [3] . Puchner et al reported 80% in prosthesis and 58% in humeral suspension [9] . Our results were 78.6% and 71.3% which is slightly better score in humeral suspension.…”

Section: Discussionmentioning

confidence: 97%

Experience of total scapular excision for musculoskeletal tumor and reconstruction in eastern Asian countries

Hayashi

Niu

Tang³

et al. 2017

Journal of Bone Oncology

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Total scapulectomy and reconstruction has been performed for scapular tumor, however, most of the reconstruction methods have resulted in poor functional outcomes and there is still room for improvement. Most of the reports of reconstruction after scapulectomy are from a single institution. In the present study, we investigated functional outcomes after total scapulectomy in a multicenter study in The Eastern Asian Musculoskeletal Oncology Group (EAMOG). Thirty-three patients who underwent total scapulectomy were registered at EAMOG affiliated hospitals. The patients were separated into no reconstruction group (n=8), humeral suspension group (n=15) and prosthesis group (n=10). Functional outcome was assessed by the Enneking score. One-way ANOVA was used to compare parameters between the patient groups. Complications included five local recurrences, one superficial infection, one dislocation and one clavicle protrusion. The average follow-up period was 43.5 months. The average active flexion range was 45.8° (0–120°), and 37.1° in abduction (0–120°). The mean total functional score was 22.9 out of 30 (15–29), which is a satisfactory score following resection of the shoulder girdle. There were significant differences in reconstruction methods for active range of motion. Bony reconstruction provided better range of motion in this study. There was a variety of reconstruction methods after scapulectomy in the eastern Asian countries. Although better functional score was obtained using scapular prosthesis or recycled bone and prosthesis composite grafting, postoperative function is still lower than preoperative function. Modified designed prosthesis with or without combination of recycle bone or allograft would restore the lost shoulder function in the future.

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“…However, surgical reconstruction presents a great challenge when the whole scapula is resected. Many methods, such as humeral suspension, autograft, or allograft replacement of scapula and use of scapular prosthesis, have been used for reconstruction after total scapulectomy . Of these methods, the prosthetic reconstruction is considered as the most effective method because of acceptable cosmesis, good postoperative function, and relatively low complication rate .…”

Section: Introductionmentioning

confidence: 99%

“…Many methods, such as humeral suspension, autograft, or allograft replacement of scapula and use of scapular prosthesis, have been used for reconstruction after total scapulectomy. 4,[7][8][9][10][11][12][13][14][15][16][17] Of these methods, the prosthetic reconstruction is considered as the most effective method because of acceptable cosmesis, good postoperative function, and relatively low complication rate. 3,4,[7][8][9][10][11] Generally, there are two kinds of scapular prosthesis: nonconstrained and constrained.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction with constrained scapular prosthesis after total scapulectomy for scapular malignant tumor

Wang

Zhang³

et al. 2018

Journal of Surgical Oncology

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Primary malignant tumours of the scapula—a review of 29 cases

Abstract: The overall prognosis of primary malignant bone tumours of the scapula remains to be inferior compared to extremity sarcoma. Endoprosthetic reconstruction, however, shows promising functional results even in cases of total scapulectomy.

Cited by 39 publications

References 32 publications

An epidemiological survey of tumour or tumour like conditions in the scapula and periscapular region

An epidemiological survey of tumour or tumour like conditions in the scapula and periscapular region

Experience of total scapular excision for musculoskeletal tumor and reconstruction in eastern Asian countries

Reconstruction with constrained scapular prosthesis after total scapulectomy for scapular malignant tumor

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