[Radical organ-saving operations in scapular tumors].

Area of Science:

• Orthopedic Surgery
• Surgical Oncology

Background:

• Scapular neoplasms are rare tumors requiring specialized surgical approaches.
• Radical resection is often necessary for oncological control.
• Function-preserving surgeries aim to minimize morbidity while achieving radical tumor removal.

Observation:

• This study analyzed 37 patients with scapular neoplasms undergoing either interscapular-thoracic resection (Tikhov-Linberg operation) or scapulectomy.
• Author-developed modifications to these procedures were implemented.
• Functional outcomes were compared to other surgical techniques.

Findings:

• Patients undergoing the modified Tikhov-Linberg operation or scapulectomy demonstrated improved functional status.
• Of 30 cases with primary scapular malignancies, 23 remained recurrence- and metastasis-free.
• Long-term follow-up (10 months to 18 years) showed sustained oncological control in the majority of patients.

Implications:

• Modified Tikhov-Linberg resection and scapulectomy represent effective function-saving surgical options for scapular neoplasms.
• These techniques offer favorable oncological outcomes with reduced functional impairment.
• Further research into surgical modifications for rare bone tumors is warranted.