الفهرس 
Clinicopathological Study and Management of Primary Malignant Scapular Tumors 10 years National Cancer Institute experiencee
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Abstract
Introduction: Primary malignant bone tumours of the scapula are very rare. Apart from
limited small series and some case reports, international literature on flat bone sarcoma
is exiguous and not much is known about the oncological outcome
Aim of work: Reviewing clinicopathological features and surgical management of
cases with primary malignant scapular tumors at NCI from January 2009 to December
2019.
Patients and methods: This was a retrospective descriptive analysis involving 25
patients with primary malignant scapular tumors who were presented at National Cancer
Institute (NCI), Cairo University (CU) over a period of 10 years from January 2009 to
December2019 to discuss different clinicopathological characteristics and surgical
managements.
Results: The Mean age of our patients was 33.4years old ranging from 9 to 86 year,
males are 14 patients (56%) while only 11 patients (44%) are female, in our study and
the results were chondrosarcoma in 14 patients (56.0), EWING/PNET in 7 patients
(28.0%), Osteosarcoma in 2 patients (8.0%), spindle cell sarcoma in 1 patient (4.0) and
Aneurysmal bone cyst in 1 patient (4.0%).Also there were 13 patients (52.0%) treated
with type IIA resection , 6 patients (24%) treated with type IIIB resection and only 1
patient (4.0%) treated with type IVB resection.in addition , there were another 5 patients
(20.0%) had no surgical intervention due to very poor general condition and metastatic
nature. Overall survival at 6 months was 92% and was 88%, 75.4% and 65.4% at first
year, 3rd year and 5
th year respectively
Conclusion: Primary malignant scapular tumor is usually rare, early diagnosis is very
important, as surgical excision with wide negative margin (limb sparing surgery) is the
main line of treatment in most of cases and to decrease recurrence rate, otherwise
palliative treatment and forequarter amputation may be indicated