Giant Chondrosarcoma of the Clavicle - A Case Report and Literature Review

Aftab Younus and Adrian Kelly
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Aftab Younus: FC Orthopedics, Orthopedic Surgeon, Helen Joseph Hospital, University of the Witwatersrand, Johannesburg, South Africa
Adrian Kelly: FC Neurosurgery, Mukhari Academic Hospital, Sefako Makgatho health sciences University, Pretoria, South Africa

Orthopedics and Rheumatology Open Access Journals, 2020, vol. 16, issue 3, 60-65

Abstract: Clavicular mass lesions are frequently malignant, with myeloma, Ewing’s sarcoma, and osteosarcoma comprising most cases. An infrequent diagnosis, more commonly seen in the pelvis and proximal femur, is a clavicular chondrosarcoma. These lesions are frequently chemo and radio-resistant, and for this reason complete surgical excision with clear margins offers the best chance of cure. The clavicles subcutaneous location through-out its course is favourable in this regard, and a complete claviculectomy is regarded as the surgical procedure of choice. Several papers note the minimal disability incurred by the complete removal of this unique, horizontally orientated, long bone. We report a 57-year old male patient who presented to our unit with a right-sided painless clavicular mass, of 1-years duration, that was progressively increasing in size. On examination a mass of alarming size was demonstrated, yet subsequent radiological investigations demonstrated only local, and fortunately resectable, spread. He was taken to surgery where we proceeded to successfully perform a total claviculectomy, utilizing a specific stepwise surgical technique. We recommend that the surgical technique, which we describe, is that which should be followed when a total claviculectomy is performed.

Keywords: journal of orthopaedics; orthopaedics journals impact factor; orthopaedics articles impact factor; scholarly publishing orthopedics journals; juniper publishers opena ccess orthopedics journal; Rheumatology; rheumatology journals impact factor 2018; rheumatology journals impact factor; rheumatology open access journals; juniper publishers review (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:adp:joroaj:v:16:y:2020:i:3:p:60-65

DOI: 10.19080/OROAJ.2020.16.555938

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