Swollen Scapula as the First Clinical Feature of Disseminated Malignant Disease

Metastases to the scapula are very rare as a primary clinical presentation of malignancies. In this Case Report have been described two cases of metastases to the scapula which gave the presenting clinical features of different disseminated carcinomas in patients in good performance status (ECOG 1). In the first case, detailed examination revealed that swollen scapula was the result of cancer that had spreadfrom the rectum. In the second case, the scapulacancer metastasisoriginated from the cervix. Good condition of patients, despite widespread diseases, allowed the systemic and palliative treatment, which had resulted in the clinical improvement, slower progress of disease and improvement of patient’s quality of life.