Tumors of the shoulder girdle: A review of 194 cases

The upper extremity is the third most common site of primary bone and soft-tissue tumors. The purpose of this study was to determine the types and prevalence of bone and soft-tissue tumors that occur in the shoulder girdle and to identify physical findings that may be indicative of malignancy. This...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2005-09, Vol.14 (5), p.460-465
Main Authors: Cleeman, Edmond, Auerbach, Joshua D., Springfield, Dempsey S.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Bone Neoplasms - diagnosis
Bone Neoplasms - pathology
Child
Child, Preschool
Clavicle
Diseases of the osteoarticular system
Female
Humans
Humerus
Male
Medical sciences
Middle Aged
Retrospective Studies
Risk Factors
Scapula
Shoulder Joint
Soft Tissue Neoplasms - diagnosis
Soft Tissue Neoplasms - pathology
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Summary:The upper extremity is the third most common site of primary bone and soft-tissue tumors. The purpose of this study was to determine the types and prevalence of bone and soft-tissue tumors that occur in the shoulder girdle and to identify physical findings that may be indicative of malignancy. This is a retrospective review of 194 consecutive neoplasms of the shoulder girdle seen by the senior author from 1996 through 2000. Benign tumors (n = 139) were more common than malignant tumors (n = 55). The presence of pain and the presence of mass were not risk factors for malignancy ( P = .41 and P = .16, respectively). Malignant tumors occurred in an older population ( P < .0007). Tenderness and tumor location in the scapula were also found to be risk factors for malignancy ( P = .0002 and P = .0001, respectively). In summary, we have identified 3 variables that were found to be associated with malignancy in the shoulder girdle: older age, tenderness on palpation, and a lesion in the scapula.
ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2005.02.003