Publication:

Innovating the surgical approach to a low grade fibromyxoid sarcoma of the subscapularis muscle

We report a 47-year-old female with pulmonary emphysema and an incidental subscapularis intramuscular lesion (76×35×17 mm). Biopsy confirmed low-grade fibromyxoid sarcoma (LGFMS). Surgical excision was performed through a novel modified Judet approach with scapular osteotomy, ensuring complete resection while preserving function. The patient remains asymptomatic at 12 months, with full mobility and no recurrence. This case highlights the importance of including LGFMS in the differential diagnosis of shoulder tumors and demonstrates the utility of a modified Judet approach as a safe, effective option for rare intramuscular sarcomas.