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Outcome of Scapular Ewing Sarcoma.

John B Hargiss1, Joshua R Labott2, Samuel E Broida2

  • 1Alix School of Medicine, Mayo Clinic, Rochester, MN, U.S.A.

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|July 27, 2022
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Scapular Ewing sarcoma is a rare bone cancer. Despite chemotherapy and local treatments like surgery or radiotherapy, survival rates for this aggressive tumor remain poor.

Keywords:
Ewing sarcomalimb salvagescapulashoulder girdle

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Area of Science:

  • Orthopedic Oncology
  • Skeletal Tumors
  • Pediatric Oncology

Background:

  • Ewing sarcoma commonly affects the femur and pelvis.
  • Scapular Ewing sarcoma is an exceptionally rare presentation of this bone tumor.
  • This study reviews institutional management of scapular Ewing sarcoma.

Purpose of the Study:

  • To analyze the clinical outcomes and management strategies for scapular Ewing sarcoma.
  • To evaluate treatment effectiveness and patient survival in this rare tumor type.

Main Methods:

  • Retrospective review of 9 patients diagnosed with scapular Ewing sarcoma.
  • Patients received induction chemotherapy followed by local control (surgery or radiotherapy).
  • Mean follow-up duration was 6 years.

Main Results:

  • Chemotherapy significantly reduced tumor size and volume.
  • Mean tumor necrosis after resection was 72%.
  • Median survival was 30 months, with a 5-year disease-specific survival of 38%.

Conclusions:

  • Scapular Ewing sarcoma is an aggressive malignancy with poor prognosis.
  • Current treatment protocols involving chemotherapy and local control yield limited survival benefits.
  • Further research into novel therapeutic strategies is warranted for improved outcomes.