Chondrosarcoma of the scapula

Case contributed by Chris O'Donnell
Diagnosis probable

Presentation

Pain in the shoulder not responding to hydrodilatation. Now palpable lump posteriorly

Patient Data

Age: 40
Gender: Male
ultrasound

Non-specific solid soft tissue mass adjacent to the spine of scapula

Well-defined lytic destruction at the base of the scapular spine with a soft tissue mass involving the infraspinatus muscle belly. No matrix calcification as is often seen in chondral tumors

Bone scan; other lesions?

Nuclear medicine

Realtively minor isotope accumulation in the left spine of scapula

Case Discussion

The scapula is an unusual location for chondrosarcoma. In this case there is a substantial soft tissue mass without calcification together with a reasonably well-defined, lobulated erosion of the bone.

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