Extensive destruction of the shoulder

Case Identification

Case ID Number
Tumor Type
Position within the bone
Periosteal reaction
Benign or Malignant

Clinical case information

Case presentation

The patient is a very pleasant woman with shoulder pain. She is 59. She has been smoking since her teenage years, approximately 40 pack years. Seven years ago, she had a painful kidney removed, and a tumor was found in the kidney which was not suspected before the operation Biopsy material is shown in the images. What is the appropriate surgical procedure?

Radiological findings:
The xray shows a very extensive destructive lesion that involves the entire proximal humerus, extending down past the surgical neck into the top of the shaft. There is a pathologic fracture as well.
Case Answer
Clinical Case Answer