International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 8 | Case Report | Open Access

Rare Case of Spindle Cell Sarcoma of the Shoulder Requiring Surgical Disarticulation in an 18-Year-Old Male: a Case Report

Shafin bin Amin^*

Miraal Mahar1, Iftikhar rashid2, Sana Abdullah1, Mohammad Toqeer3, Shafin Amin1, Adam stoneham4 1Jinnah Postgraduate Medical Centre, Rafiqui, Sarwa Shaheed Rd, Karachi Cantonment, Karachi, Pakistan 2Shaheed Mohtarma Benazir Bhutto Medical College, Lyari Hospital Rd, Rangiwara Karachi, Karachi, Pakistan 3Department of Acute Medicine, City Hospital, Peterborough, Cambridgeshire, UK 4Department of Orthopaedics, Homerton Hospital, London, UK

^*Correspondence to: Shafin bin Amin 

Abstract

Spindle cell sarcoma typically affects adults between the ages of 30 and 50 years. This report presents a rare case of spindle cell sarcoma in an 18-year-old male. Although limb-sparing surgeries are generally preferred, the aggressive nature of the tumor in this patient required surgical disarticulation. The patient presented a 6-month history of a painful, rapidly growing swelling over his right shoulder. On examination, the mass was large, ulcerated, and fungating. Further diagnostic investigations were conducted; an MRI revealed a substantial, multi-lobulated, spindle-shaped lesion with heterogeneous enhancement, measuring 13.2 x 13.4 x 15.1 cm (AP x TS x CC), which encased the neurovascular bundle and exhibited multiple enlarged ipsilateral axillary lymph nodes. Histopathology confirmed spindle cell sarcoma. Owing to neurovascular involvement and local invasion, a multidisciplinary team proceeded with shoulder disarticulation. This case highlights the potential for aggressive disease progression in younger patients and the challenges in achieving limb preservation in advanced soft-tissue sarcomas.

Keywords:

Spindle cell sarcoma; Soft tissue sarcoma; Shoulder disarticulation; Young adult; Neurovascular involvement; Case report

Citation:

Miraal Mahar, Iftikhar rashid, Sana Abdullah, Mohammad Toqeer, Shafin Amin, Adam stoneham. Rare Case of Spindle Cell Sarcoma of the Shoulder Requiring Surgical Disarticulation in an 18-Year-Old Male: a Case Report. Int Clinc Med Case Rep Jour. 2025;4(8):1-7.