Primary osteogenic sarcoma of the clavicle. A case report.

The clavicle is an unusual site for any primary bone tumor, including osteogenic sarcoma. A paucity of data in the literature on this type of lesion makes clear understanding of the optimal treatment difficult. Given its anatomical location, the lesion requires a multidisciplinary approach for optimal care, with each member of the health care team being important for maintaining and prolonging the quality of life for a patient. A 22-year-old man with primary osteogenic sarcoma of the clavicle was treated with preoperative and postoperative chemotherapy and was managed with surgical excision of the tumor while sparing the limb. Clinically disease-free for 20 months postoperatively, the patient presented with gross evidence of local recurrence with diffuse metastatic involvement at 22 months and died 6 weeks later. We have found no report of long-term survival on a patient with this lesion.