Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a progressive, deep-seated ache in the clavicular region, noting a palpable, firm, non-tender mass. Symptoms include localized swelling, nocturnal pain, and restricted range of motion in the ipsilateral shoulder. No history of recent trauma. Denies constitutional symptoms such as unexplained weight loss or night sweats.
Clinical Examination Findings
Inspection reveals a visible, firm, fixed mass overlying the clavicle with overlying skin changes or prominent superficial vasculature. Palpation confirms a hard, non-mobile lesion, tender to deep palpation. Shoulder examination shows limited abduction and flexion due to pain or mechanical obstruction. Neurovascular status of the upper extremity is intact with palpable distal pulses and normal sensation.
Treatment Protocol
Multidisciplinary management plan initiated. Staging workup includes MRI of the clavicle, CT chest for pulmonary metastasis screening, and PET/CT scan. Neoadjuvant chemotherapy scheduled followed by wide surgical resection of the clavicle with reconstruction. Post-operative physical therapy and long-term oncological surveillance are mandatory.