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Chapter-243 Tumors Around the Shoulder

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Panchwagh Yogesh
ISBN
9789385891052
DOI
10.5005/jp/books/12869_244
Edition
3/e
Publishing Year
2016
Pages
10
Author Affiliations
1. Tata Memorial Hospital, Mumbai, Tata Memorial Hospital, Mumbai, Maharashtra, India
Chapter keywords
Tumor, shoulder, Ewing’s sarcoma, osteosarcoma, chondrosarcoma, swelling, MRI scan, CT scan, biopsy, limb salvage surgery

Abstract

Tumors around the shoulder, though rare, need to be dealt with appropriately to retain maximum function in the affected extremity while ensuring appropriate disease control. Commonly encountered primary sarcomas of shoulder area are osteosarcoma and Ewing’s sarcoma in the younger patients, and chondrosarcoma in the adults. The most common complaint that the patients present with is painful swelling in the affected area with variable duration of symptoms. Typically a patient with neoplasm around the shoulder will undergo a set of radiological investigations, which comprise of a radiograph along with MRI with or without CT scan of the affected area. A histopathological diagnosis established after doing a biopsy is the last of the investigations performed for any tumor around the shoulder. Benign tumors, when detected early, can be managed by intralesional treatment when indicated, with excellent functional results. Limb salvage surgery is possible in most of the patients with malignant tumors around the shoulder with acceptable functional outcome and survival rates.

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