PMC4723359_01
MRI showed a 8.0x2.9x6.2 cm tumor in the right scapula.
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MRI showed a tumor of 8.0x2.9 x6.2 cm located in the right scapula with dorsal displacement of the infraspinatus and teres minor muscles (Fig. 1).
Bone scintigraphy showed no sign of metastasis.
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Staging, including bone scan (Fig. 2) and CT-imaging, did not show metastatic lesions.
Extracorporeal irradiation with 120 Gray dose.
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The resected scapula was irradiated with a tumoricidal dose of 120 Gy by means of 6 MV photons (Fig. 3), creating dead autologue bone graft of the correct dimensions for re-implantation and reconstruction.
Post-operative range of motion.
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Postoperative examination of shoulder function gives anteflexion of over 160 , abduction of over 160  (Fig. 4), exorotation to 60 , endorotation to the left scapula as shown in Fig. 4.
Subtotal resorption of the scapula, leaving the glenohumeral joint intact.
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At five year follow-up there has been subtotal resorption of the scapula (Fig. 5), leaving the glenohumeral joint intact.
Range of motion at five year follow-up.
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Remaining shoulder function gives anteflexion of over 120 , abduction of 100 , exorotation to 60 , endorotation to the left scapula as shown in Fig. 6.