Rare Case of Scapula Resection for Oligometastatic Colon Carcinoma to Bone

Background

Colorectal carcinoma with isolated metastasis to the scapula is a rare occurrence. There is a paucity of accounts detailing experience with this unique scenario. We present a case of oligometastatic colon adenocarcinoma to the scapula with subsequent scapulectomy, in which the patient had eventual visceral disease recurrence yet still gained a palliative benefit from the procedure.

Case

We detail the account of a patient with metastatic colorectal carcinoma to the right scapula and subsequent treatment for the scapular metastasis. The patient underwent successful total scapulectomy for metastatic colon adenocarcinoma with negative margins achieved. He had an uneventful postoperative course and was discharged home on day three. Upon follow-up after total scapulectomy, the patient experienced significant symptom improvement and functional recovery.

Conclusion

We believe a significant benefit to the patient's overall quality of life was provided by undergoing this procedure. Therefore, this option should remain part of the oncologic surgeon's armamentarium to offer a palliative option to patients with the goal of controlling pain and retaining function.