Abdelrahman, I., El-Sherbiny, M., Fayek, I., Shaker, I., Taher, M. (2023). Clinicopathological Study and Management of Primary Malignant Scapular Tumors; 10 Years National Cancer Institute Experience. The Egyptian Journal of Hospital Medicine, 91(1), 3807-3812. doi: 10.21608/ejhm.2023.293456
Ibrahim Abdelrahman; Magdy El-Sherbiny; Ihab Fayek; Ibrahim Shaker; Mohammad Taher. "Clinicopathological Study and Management of Primary Malignant Scapular Tumors; 10 Years National Cancer Institute Experience". The Egyptian Journal of Hospital Medicine, 91, 1, 2023, 3807-3812. doi: 10.21608/ejhm.2023.293456
Abdelrahman, I., El-Sherbiny, M., Fayek, I., Shaker, I., Taher, M. (2023). 'Clinicopathological Study and Management of Primary Malignant Scapular Tumors; 10 Years National Cancer Institute Experience', The Egyptian Journal of Hospital Medicine, 91(1), pp. 3807-3812. doi: 10.21608/ejhm.2023.293456
Abdelrahman, I., El-Sherbiny, M., Fayek, I., Shaker, I., Taher, M. Clinicopathological Study and Management of Primary Malignant Scapular Tumors; 10 Years National Cancer Institute Experience. The Egyptian Journal of Hospital Medicine, 2023; 91(1): 3807-3812. doi: 10.21608/ejhm.2023.293456
Clinicopathological Study and Management of Primary Malignant Scapular Tumors; 10 Years National Cancer Institute Experience
Surgical Oncology Department, National Cancer Institute - Cairo University, Cairo, Egypt
Abstract
Introduction: Primary malignant scapular tumors are very rare. Little is written about flat bone sarcomas in the literature, and not much is known about the oncological outcome. Objective: The aim of the current work isreviewing clinicopathological features and surgical management of cases with primary malignant scapular tumors. Patients and methods: Patients with primary malignant scapular tumours who visited the National Cancer Institute (NCI) at Cairo University, Egypt, between January 2009 and December 2019 were subjected to a retrospective descriptive analysis. Results: The study included 25 patients with a mean age of 33.4 years old ranging from 9 to 86 years. Pathology types were chondrosarcoma in 14 patients (56%), Ewing/PNET in 7 patients (28%), osteosarcoma in 2 patients (8%), spindle cell sarcoma in 1 patient (4%), and aneurysmal bone cyst in 1 patient (4%). Twenty patients (80%) had surgery, and 5 patients (20%) had no surgical intervention for being either with a poor general condition or having metastatic disease. Overall survival at 6 months was 92% and was 88%, 75.4%, and 65.4% in the first year, 3rd year, and 5th year respectively. Disease-free survival at 6 months was 90.5%; and was 85.7%, 75.4%, and 42.7% in the first year, 3rd year, and 5th year respectively. Conclusion: Primary malignant scapular tumors are rare. Early diagnosis is very important, as surgical excision with a wide negative margin (limb-sparing surgery) is the main line of treatment in most cases and tends to decrease the recurrence rate, otherwise, palliative treatment and forequarter amputation may be indicated.
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