Osteochondromas are benign bone tumors that mainly affect the metaphysis of long bones. We describe a 50-year-old patient who presented with a ventral scapular osteochondroma that limited her shoulder movement and caused tumor-induced paresthesia during sleep. The swelling was accompanied by pain and an inability to execute her professional obligations for the preceding four months. There were no neurological abnormalities. CT scan revealed a mushroom-shaped mass with cortical and medullary components near the scapula's lateral angle. We intended to do the surgery in the lateral decubitus position and under general anesthesia via the axillary approach. We describe a unique location and age range in which osteochondroma manifests. Because the risk of malignancy grows with age, we underline that osteochondroma should be considered a differential diagnosis in both unusual locations and age groups. Secondly, patients should be monitored clinically and radiographically following excision.
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