Complex surgery for locally advanced bone and soft tissue sarcomas of the shoulder girdle

  • Jan Lesenský
  • Andreas F. Mavrogenis
  • Vasilios G. Igoumenou
  • Zdenek MatejovskyJr.
  • Karel Nemec
  • Panayiotis J. Papagelopoulos
  • Nicola FabbriEmail author
Expert's Opinion • SHOULDER - TUMORS


Surgical management of primary musculoskeletal tumors of the shoulder girdle is cognitively and technically demanding. Over the last decades, advances in the medical treatments, imaging and surgical techniques have fostered limb salvage surgery and reduced the need for amputation. Despite well-accepted general principles, an individualized approach is often necessary to accommodate tumor extension, anatomical challenges and patient characteristics. A combination of techniques is often required to achieve optimal oncologic and durable functional outcome. Goal of this article is to review approach and management of patients with locally advanced sarcomas of the shoulder girdle requiring major tumor surgery, to illustrate principles of surgical strategy, outcome and complications, and to provide useful guidelines for the treating physicians.


Forequarter Interscapulothoracic Amputation Limb salvage 


Compliance with ethical standards

Conflict of interest

No benefits have been or will be received from a commercial party related directly or indirectly to the subject matter of this article.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag France SAS 2017

Authors and Affiliations

  • Jan Lesenský
    • 1
  • Andreas F. Mavrogenis
    • 2
  • Vasilios G. Igoumenou
    • 2
  • Zdenek MatejovskyJr.
    • 1
  • Karel Nemec
    • 1
  • Panayiotis J. Papagelopoulos
    • 2
  • Nicola Fabbri
    • 3
    Email author
  1. 1.Department of Orthopaedics, First Medical Faculty, Charles University, Prague Teaching Hospital, BulovkaPragueCzechia
  2. 2.First Department of Orthopaedics, National and Kapodistrian University of Athens, School of MedicineHolargos, AthensGreece
  3. 3.Orthopaedic Service, Department of SurgeryMemorial Sloan Kettering Cancer CenterNew YorkUSA

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