Related Experiment Videos
Oncologic and functional outcome of scapular chondrosarcoma
Anthony M Griffin1, Mahmood Shaheen, Robert S Bell
1University Musculoskeletal Oncology Unit at Mount Sinai Hospital, The University of Toronto, Suite 476G, 600 University Avenue, Toronto, Canada.
Annals of Surgical Oncology
|May 29, 2008
Summary
Patients with scapular chondrosarcoma show excellent oncologic outcomes, with low recurrence and metastasis rates. Partial scapulectomy leads to better functional results than total scapulectomy for these rare bone tumors.
Area of Science:
- Orthopedic Oncology
- Skeletal Tumors
- Sarcoma Research
Background:
- Scapular chondrosarcoma is a rare bone malignancy.
- Conflicting oncologic outcome data exists for scapular chondrosarcoma.
- This study addresses oncologic and functional outcomes for scapular chondrosarcoma.
Purpose of the Study:
- To evaluate oncologic and functional outcomes in patients with primary chondrosarcoma of the scapula.
- To compare outcomes between partial and total scapulectomy for scapular chondrosarcoma.
- To provide data on recurrence and survival rates for this specific tumor location.
Main Methods:
- Retrospective review of a prospectively collected database (1989-2004).
- Inclusion of patients undergoing surgical resection for primary scapular chondrosarcoma.
- Assessment of oncologic outcomes (recurrence, metastasis) and functional outcomes using MSTS 87, MSTS 93, and TESS scores.
Main Results:
- Twenty-four patients (mean age 44) were analyzed.
- No local recurrences were observed; two patients (8.3%) died of metastatic disease.
- Partial scapulectomy yielded significantly better functional outcomes (MSTS 87, MSTS 93, TESS) compared to total scapulectomy.
Conclusions:
- Primary chondrosarcoma of the scapula has a favorable oncologic prognosis.
- Partial scapulectomy is associated with superior functional results compared to total scapulectomy.
- This study supports limb-sparing surgery with functional preservation for scapular chondrosarcoma.