CASE 659: FIBROSARCOMA of Left SCAPULAR REGION, Dr PHAN THANH HAI, Dr LE VAN THO, Dr HO CHI TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

A 19 year-old female patient with a huge mass on her left shoulder for 2 years.

Shouder X-ray represents a # 15 centimeter soft tissue mass of left shoulder with invasion left scapulum.                                                  

On ultrasound this is a huge solid mass, echo poor, well limited border, poor vascularized from left axilla to posterior shoulder. Thermography notes high temperature in tumoral region.

MSCT shows a soft tissue sarcoma of left shoulder that invades left scapulum. There is an arterial branch from left subclavian artery going to nourrish the tumor.

MRI confirms the soft tissue sarcoma of left shoulder invasive the left scapulum but glenohumeral joint intact.

Surgery removes the tumor and a lower part of left scapulum  keeping of superior part with glenoid fossa of scapulum.

Histopathologic report is fibrosarcoma low malignancy.

Due to COVID19 pandemic, so late the patient goes to hospital in case of tumor with bone metastasis.

Although the surgical management is successful, the patient will still face in high risk of recurrent of  fibrosarcoma and its metastases.