TWO CASES OF ENORMOUS TUMORS IN THE PROXIMAL HUMERAL REGION
Keywords:Tumor, Humerus, Enormous
With this report we aim to present two cases of patients with malignant neoplasms in the region of the proximal humerus. The patients were both operated with their limbs spared.
The two patients described in this report are very recent cases. The first one, a 60 y.o. man was admitted to the hospital in May 2021. He had a large tumor in the proximal humerus that developed very fast (in a matter of 3 months), getting huge in size. The Shoulder joint became less and less mobile and eventually almost no motion was possible. He was operated with his proximal humerus replaced with a reverse tumor prosthesis “Arrow”.
The second patient, a 78 y.o. female was admitted to the hospital in September 2021. She developed a large formation seemingly in the midshaft area of the humerus. The process took less than a year. The initial X-ray images and clinics were strongly suggesting osteosarcoma, however the MRI made us perform extirpation of the formation. The tumor was removed entirely and what seemed like a osteosarcoma came out to be a degenerated Exostosis cartilaginea.
Although the first patient had almost his entire Deltoid muscle consumed by the formation he is slowly regaining range of motions. He is undergoing physiotherapy and his treatment is still being planned because the tumor came out to be a metastatic one.The female patient had no injury of the main anatomical elements (particularly n. Radialis due to the close proximity of the formation) and is even now regaining full range of motions. She is being planned for radiotherapy and is still recovering in the hospital.
Although the cases of enormous tumores are relatively rare their treatment stand a great challenge for the surgeon. With the treatment we chose and more specifically the limb salvage operations we believe that the patient will still have a good life expectancy but the high level of quality of life compared with amputees for example is a huge advantage.
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