Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a progressive, deep-seated ache in the proximal humerus, worsening at night. Associated with localized swelling, palpable bony prominence, and restricted range of motion of the shoulder girdle. No history of recent trauma. Systemic symptoms include unexplained weight loss and fatigue.
Clinical Examination Findings
Physical examination reveals a firm, fixed, non-tender mass over the proximal humerus. Overlying skin shows dilated superficial veins and increased local warmth. Shoulder abduction and rotation are significantly limited due to pain and mechanical obstruction. Neurovascular status of the distal extremity is intact.
Treatment Protocol
Multidisciplinary management plan initiated: Neoadjuvant chemotherapy to achieve tumor necrosis, followed by wide surgical resection of the proximal humerus with limb-salvage reconstruction (endoprosthesis). Post-operative adjuvant chemotherapy to address micrometastatic disease. Regular surveillance imaging and oncology follow-up.