Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a [duration] history of progressive [right/left] shoulder pain, described as [character, e.g., dull ache, sharp, constant]. Pain is [worse at night/with activity/at rest] and [radiates to arm/neck/chest]. Associated symptoms include [palpable mass/swelling/loss of function/weakness/numbness/constitutional symptoms like weight loss/fatigue]. Denies [trauma/fever/chills].
Clinical Examination Findings
General appearance: [well-nourished/cachectic/distressed/comfortable]. Vital signs stable. No acute distress. [Pallor/jaundice/cyanosis] absent. Lymphadenopathy [present/absent] in [location].
Treatment Protocol
Discussed diagnosis of Chondrosarcoma, Scapula. Primary treatment involves wide en bloc surgical resection of the tumor with clear margins. Adjuvant therapy (chemotherapy/radiation) will be considered based on tumor grade, stage, and surgical findings, in a multidisciplinary tumor board setting. Post-operative rehabilitation plan to be initiated. Close follow-up with imaging is crucial.