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Tumors of the Proximal Humerus / Scapula


- Osteosarcoma (common)
- Enchondroma (relatively common)
- Ewing's sarcoma: diaphyseal region;
- Periosteal chondroma (just proximal to insertion of deltoid)
- Osteochondroma
- Chondroblastoma
- Chondromyxoid fibroma
- Aneurysmal bone cyst
- Simple bone cyst
- Giant Cell Tumor of Bone;
- Chondrosarcoma: (affects the shoulder girdle)
- Fibrous Histiocytoma
- Fibrosarcoma of bone;
- Plasmacytoma:
- Renal Cell Ca:

- Tumors of the Scapula:

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- Osteochondroma (Osteocartilaginous Exostosis)
- chondrosarcoma: affects the shoulder girdle;

- Metastatic Tumors of Humerus:

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- aproximately 18.5% of Breast cancer patients develop evidence of humeral metastatic involvement;
- references:
- Pathologic fracture of the humerus.
- A Biomechanical Analysis of Prophylactic Fixation for Pathological Fractures of the Distal Third of the Humerus.
- Metastatic diaphyseal fractures of the shaft of the humerus. The structural strength evaluation of a new method of treatment with a segmental defect prosthesis.
- Metastatic bone disease. A study of the surgical treatment of 166 pathologic humeral and femoral fractures.
- Treatment of pathologic fracture of the humerus.

- Biopsy of Shoulder Lesions:
- bx of humerus thru deltopectoral interval causes dissemination of tumor cells at a distance, through normal neurovascular planes;
- following such a biopsy approach, local resection of proximal aspect of humerus is more prone to be followed by a local recurrence;
- it would be more appropriate to biopsy the tumor through anterior deltoid muscle and then to resect en bloc biopsy-contaminated
deltoid with the humerus during the definitive procedure


Osteoarticular allografts for reconstruction in the proximal part of the humerus after excision of a musculoskeletal tumor.

Stabilization and prosthetic replacement in difficult fractures and bone tumors.

Resection of malignant bone tumors about the shoulder. A preliminary report of reconstruction with a new modular spacer.

Scapular allografts. A report of two cases.

Interscapulo-Thoracic Resection for Malignant Tumors of the Shoulder Joint Region.