Three-dimensional printed custom-made scapular implant reconstruction after total scapulectomy for malignant tumor: a case report
DOI:
https://doi.org/10.64575/mq8vwv77Keywords:
Total scapulectomy, Ewing’s sarcoma, 3D-printed implants, custom-made implant, scapulaAbstract
Although rare in childhood, cancer remains a significant cause of death in children. Even though hematological cancers such as leukemia and lymphoma are more common in children, sarcomas with bone and soft tissue involvement should not be overlooked. This study presents the diagnosis, treatment, and limb-sparing reconstruction of scapular Ewing’s sarcoma detected in a 9-year-old female patient who presented to our outpatient clinic with a mass and pain on the left side of her back, along with a brief review of the literature.
References
1. Blacksin MF, Benevenia J. Neoplasms of the scapula. AJR Am J Roentgenol. 2000;174(6):1729–35. doi: 10.2214/ ajr.174.6.1741729. DOI: https://doi.org/10.2214/ajr.174.6.1741729
2. Mavrogenis AF, Mastorakos DP, Triantafyllopoulos G, Sakellariou VI, Galanis EC, Papagelopoulos PJ. Total scapulectomy and constrained reverse total shoulder reconstruction for a Ewing’s sarcoma. J Surg Oncol. 2009;100(7):611–5. doi: 10.1002/jso.21340. DOI: https://doi.org/10.1002/jso.21340
3. Shahid M, Varshney M, Maheshwari V, Mubeen A, Siddiqui MA, Julfiqar J, et al. Ewing’s sarcoma of scapula: a rare entity. BMJ Case Rep. 2011;2011:bcr0220113810. Doi: 10.1136/bcr.02.2011.3810. DOI: https://doi.org/10.1136/bcr.02.2011.3810
4. Cleeman E, Auerbach JD, Springfield DS. Tumors of the shoulder girdle: a review of 194 cases. J Shoulder Elbow Surg. 2005;14(5):460–5. doi: 10.1016/j.jse.2005.02.003. DOI: https://doi.org/10.1016/j.jse.2005.02.003
5. Kaiser CL, Yeung CM, Raskin K, Gebhardt MC, Anderson ME, Lozano-Calder´on SA. Tumors of the scapula: A retrospective analysis identifying predictors of malignancy. Surg Oncol. 2020;32:18–22. doi: 10.1016/j.suronc.2019.10.020. DOI: https://doi.org/10.1016/j.suronc.2019.10.020
6. Rizzo A, Paderno M, Saccomanno MF, Milano F, Milano G. The Musculoskeletal Tumor Society Scoring system is a valid subjective and objective tool to evaluate outcomes of surgical treatment of patients affected by upper and lower extremity tumors. Musculoskelet Surg. 2024;108(2):201–14. doi: 10.1007/s12306-024-00815-3 DOI: https://doi.org/10.1007/s12306-024-00815-3
7. Grier HE. The Ewing family of tumors. Ewing’s sarcoma and primitive neuroectodermal tumors. Pediatr Clin North Am. 1997;44(4):991–1004. doi: 10.1016/s0031-3955(05)70541-1. DOI: https://doi.org/10.1016/S0031-3955(05)70541-1
8. Balamuth NJ, Womer RB. Ewing’s sarcoma. Lancet Oncol. 2010;11(2):184–92. doi: 10.1016/S1470-2045(09)70286-4. DOI: https://doi.org/10.1016/S1470-2045(09)70286-4
9. Malik SS, Tahir M, Ahmed U, Evans S, Jeys L, Abudu S. Outcome of Ewing’s sarcoma of the scapula-a long-term follow-up study. Orthop Traumatol Surg Res. 2020;106(1):25–30. doi: 10.1016/j.otsr.2019.10.003. DOI: https://doi.org/10.1016/j.otsr.2019.10.003
10. Biswas R, Krishnan B, Phulware RH, Roy SG, Kumar R, Barwad A, et al. Ewing’s Sarcoma of Scapula: a Rare Case Report. Indian J Surg Oncol. 2019;10(1):232–5. doi: 10.1007/s13193-018-0833-8. DOI: https://doi.org/10.1007/s13193-018-0833-8
11. Hattori T, Yamakawa H, Nakayama N, Kuroda T, Andoh T, Sakai N, et al. Skull metastasis of Ewing’s sarcoma–three case reports. Neurol Med Chir (Tokyo). 1999;39(13):946–9. doi: 10.2176/nmc.39.946. DOI: https://doi.org/10.2176/nmc.39.946
12. Halperin EC, Wazer DE, Perez CA, Brady LW. Perez and Brady’s: Principles and Practice of Radiation Oncology. Lippincott Williams Wilkins; 2018. https://oncology.lwwhealthlibrary.com/book.aspx?bookid=1154sectionid=0
13. Picci P, Böhling T, Bacci G, Ferrari S, Sangiorgi L, Mercuri M, et al. Chemotherapy-induced tumor necrosis as a prognostic factor in localized Ewing’s sarcoma of the extremities. J Clin Oncol. 1997;15(4):1553–9. doi: 10.1200/JCO.1997.15.4.1553. DOI: https://doi.org/10.1200/JCO.1997.15.4.1553
14. Francis KC, Worcester JN Jr. Radical resection for tumors of the shoulder with preservation of a functional extremity. J Bone Joint Surg Am. 1962;44-A:1423–30. PMID: 19777637. DOI: https://doi.org/10.2106/00004623-196244070-00015
15. Bianchi G, Benedetti MG, Bardelli R, Platano D, Laranga R, Tuzzato G. Three-Dimensional Printed Custom-Made Prostheses after Partial Scapulectomy: A Case Report. Applied Sciences. 2023; 13(12):7056. doi: 10.3390/app13127056 DOI: https://doi.org/10.3390/app13127056
16. Trikoupis IG, Mavrodontis II, Papadopoulos DV, Goumenos SD, Georgoulis DA, Gavriil P, et al. 3D-printed glenoid implant reconstruction, after partial scapulectomy for malignant tumors: a case series. Eur J Orthop Surg Traumatol. 2024;34(3):1557-62. doi: 10.1007/s00590-024-03839-4. DOI: https://doi.org/10.1007/s00590-024-03839-4
17. Deng L, Zhao X, Wei C, Qu W, Yu L, Zhu S. Application of a three-dimensional printed segmental scapula prosthesis in the treatment of scapula tumors. Journal of International Medical Research. 2019;47(11):5873-82. doi:10.1177/0300060519875336 DOI: https://doi.org/10.1177/0300060519875336
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Copyright (c) 2025 Ali Pakırdaşı, Sabri Batın, Kaan Gürbüz, Fırat Ozan (Author)

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