ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ МЕТАСТАТИЧЕСКОГО ПОРАЖЕНИЯ КЛЮЧИЦЫ ПРИ СЕМИНОМЕ (клиническое наблюдение)

Clavicle is a very rare localization for primary tumor process as well as for metastatic lesion thereby there are few papers in medical literature dedicated to the surgical treatment of a clavicle tumor lesion. Mainly the authors report on experience on total or subtotal claviculectomy without replacement of the defect. There are singular publications on defect replacement with clavicle allograft, rib or fibula autograft or with synthetic materials. The authors report the experience of clavicle metastatic lesion treatment in a patient with testicular seminoma. The authors resected clavicle metastasis and replaced the post resection defect by a locking plate with angular stability and bone cement. The functional outcome evaluated in three months postoperatively was29 ptson MSTS score with a full range of motion in the left shoulder. Described method can be recommended for young patients with a primary tumor process or metastatic lesion of a clavicle who have high demands in respect of cosmetic and functional result.