title: Epithelioid sarcoma mimicking a primary osseous multifocal scapula lesion.
abstract: This report describes a case of bone involvement by epithelioid sarcoma, which on imaging had the appearance of a primary intraosseous lesion of the scapula. The tumor initially presented as a subcutaneous nodule which was mistakenly diagnosed as "fibrosis" following initial resection. The lesion recurred locally and after several resections presented with several ulcerated subcutaneous nodules, at which time all imaging studies were performed. The patient was treated with en bloc upper humeral interscapulothoracic resection and shoulder reconstruction. Two years after the operation the patient is alive without local recurrence or metastasis.
authors.affiliation: Department of Orthopaedic Surgery, Nagoya University School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. hisaty@aqua.ocn.ne.jp
authors.forename: Hiroatsu
authors.initials: H
authors.lastname: Nakashima
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Katagiri
authors.forename: Hideshi
authors.initials: H
authors.lastname: Sugiura
authors.forename: Masahiro
authors.initials: M
authors.lastname: Yonekawa
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Nishida
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Yamada
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019275:Radiopharmaceuticals; D012509:Sarcoma / Q000175:diagnosis*; D012540:Scapula; D012782:Shoulder; D012983:Soft Tissue Neoplasms / Q000175:diagnosis*; D013669:Technetium Tc 99m Medronate
chemical_list: D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate