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Chondrosarcoma of the scapula

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Chronic shoulder pain and immobility.

Patient Data

Age: 75 years
Gender: Male
mri
  • mild joint effusion

  • large soft tissue infiltrative and destructive osseous lesion measuring about 65 x 80 x 90 mm involving the scapula glenoid, coracoid process, and body portions with extraosseous extension

  • abnormal intrasubstance increased fluid signal and thickening along the supraspinatus tendon related to tendinosis

  • subacromial/subdeltoid bursa

  • glenohumeral joint degenerative changes

  • capsular hypertrophy and degenerative changes along with the AC joint

  • acromion type II

Case Discussion

The patient underwent biopsy and the histopathologic examination of the whole specimen came back as grade II chondrosarcoma. 

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