Clinical outcomes of tumors and tumor-like lesions located in the clavicle
İzzet Korkmaz1
, Coşkun Ulucaköy2, Batuhan Ayhan2, Erkan Büyükdemirci3, Halil Sezgin Semis4, İsmail Burak Atalay2, Bedii Şafak Güngör2
1Department of Orthopedics and Traumatology, Ankara City Hospital, Ankara, Türkiye
2Department of Orthopedics and Traumatology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Türkiye
3Ankara Provincial Health Directorate Public Health Services Presidency, Epidemiology and Public Health Specialist, Ankara, Türkiye
4Department of Orthopedics and Traumatology, Erzurum Buhara Hospital, Erzurum, Türkiye
Keywords: Age, clavicle, outcome, tumor.
Abstract
Objectives: The aim of this study was to examine the characterization of tumors and tumor-like lesions located in the clavicle and to present their clinical results.
Patients and methods: Between January 2006 and December 2018, a total of 44 patients (25 males, 19 females; mean age: 36.2±21.8 years; range, 2 to 87 years) who were operated in our clinic for a clavicular lesion were included. Among 4,856 extremity tumors operated in our clinic between these years, 44 cases (0.9%) located in the clavicle were eligible. Demographic data, tumor types, location, surgical method, metastasis, survival analyzes and clinical results of these patients were reviewed retrospectively. According to the clavicle location, the patients were divided into groups according to their involvement in proximal, middle, lateral and more than one region.
Results: The most frequently involved site was the lateral edge of the clavicle, and the most common tumor was aneurysmal bone cyst. The most common malignant tumor was Ewing sarcoma and plasmacytoma (13.6%) and the most common surgical method in the clavicle was wide resection with 34.1%. Of the 38 primary clavicle tumors remaining after the metastatic lesions were removed, 21 (55%) were benign, while 17 (45%) were malignant. Aneurysmal bone cyst was most common in the group under 30 years of age, osteochondroma was most common in the 30-50 age group, and plasmacytoma was most common in those over 50 years of age. The mean musculoskeletal tumor society (MSTS) score of 15 patients (34.1%) who underwent clavicle resection was 79.4±6.
Conclusion: We believe that a wide spectrum should be considered in the differential diagnosis of tumors located in the clavicle. Age is an important predictive factor for malignancy. We believe that resection should be applied without fear considering its effects on function and recurrence.
Citation: Korkmaz İ, Ulucaköy C, Ayhan B, Büyükdemirci E, Semis HS, Atalay İB, et al. Clinical outcomes of tumors and tumor-like lesions located in the clavicle. Jt Dis Relat Surg 2022;33(2):449-454.
The study protocol was approved by the Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital Ethics Committee (no: 2021- 12/1524). The study was conducted in accordance with the principles of the Declaration of Helsinki.
A written informed consent was obtained from each patient.
Data Sharing Statement: The data that support the findings of this study are available from the corresponding author upon reasonable request.
Writer: İ.K., C.U.; Data collection: B.A.; Data analysis: E.B.; Data collection: H.S.S.; Critical review: İ.B.A. Critical review: B.Ş.G.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.