In our study, we examined tumors or tumor-like lesions located in the scapula and diagnosed them histopathologically, and their treatment and follow-up results. Thus, we aimed to contribute to the literature by evaluating the diagnosis distribution and treatment results of these rare lesions. Cases with scapula-located lesion who were diagnosed histopathologically between 2015-2020 were determined. The age, gender, symptoms, duration of symptoms, mass localization, pathological 40 (during diagnosis), treatment type (biopsy, surgery, chemotherapy, radiotherapy), post-treatment complications and follow-up times from the diagnosis were examined. Of the 29 cases included in the study, 21 were male and 8 were female. The mean age was 50 (11-84). While 17 patients had a lesion in the left scapula, 12 patients had a lesion in the right scapula. 21 cases presented with the complaint of pain, 5 cases with the complaint of swelling, and 3 cases with the complaint of pain+swelling. The mean duration of symptoms before diagnosis was 6 months (1-15). While 12 cases had benign lesions, 17 cases had malignant lesions. While 9 cases had malignancy due to metastasis, 8 cases had primary malignancy. The lesion localizations were only S1 in 4 cases, S2 only in 12 cases, and S1+S2 in 13 cases. The mean follow-up period was 33 months (6-64), and 5 cases died during the follow-up. When we look at tumors and tumor-like lesions in the scapula, it is seen that malignancies are high. As the age of the case in-creases, there is an increase from benign to malignant. These lesions, which need to be investigated in detail radiologically, can be successfully treated after histopathological examination.