Figure 1.

A 65-year-old man with a pulmonary neoplasm of the left-upper lobe confirmed by fibrobronchoscopy with right-scapular metastasis and invasion of adjacent soft tissues. Prior to radical pulmonary surgery, the patient underwent partial resection of the scapula (internal third), acromion, coracoid process, and lateral end of the clavicle (external third), together with the invaded soft tissue (subscapularis, suprascapularis, and infraspinatus muscles; humeral and clavicular insertion of the pectoralis major muscle; and insertion of the pectoralis minor and deltoid muscle). (A) Intra-operative view of scapular tumor mass (external third) invading the soft tissues and integument. (B) Post-excision tumoral aspect with soft tissue reconstruction that did not require prosthetic materials or skin graft. (C) CT scan of a left-upper lobe lung tumor diagnosed as lung cancer by fibrobronchoscopy.