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Chest-wall tumours.

K G Evans1, R R Miller, N L Müller

  • 1Division of Thoracic Surgery, Vancouver General Hospital, BC.

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|June 1, 1990
PubMed
Summary
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Aggressive chest-wall resection offers the best chance for recurrence-free survival in patients with chest wall tumors. This surgical approach can be performed with low morbidity and satisfactory cosmetic outcomes.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology

Background:

  • Chest wall tumors, including benign lesions, sarcomas, and carcinomas, necessitate surgical intervention.
  • Resection of chest wall tumors can involve the removal of multiple ribs and may require prosthetic reconstruction.

Purpose of the Study:

  • To evaluate the outcomes of aggressive chest-wall resection for various chest wall tumors.
  • To assess the morbidity, mortality, and recurrence-free survival rates associated with this surgical approach.

Main Methods:

  • A retrospective review of 23 patients (7 women, 16 men) who underwent chest-wall resection between August 1984 and October 1988.
  • Patients ranged in age from 17 to 79 years, with resections performed for benign lesions (9), recurrent sarcoma (4), and carcinoma (10).
  • The extent of resection (ribs removed) and the need for prosthetic reconstruction were recorded.

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Main Results:

  • No operative deaths or postoperative flail segments were observed.
  • Three patients died of metastatic disease, and one died of unrelated causes.
  • The remaining 19 patients were alive and well at follow-up intervals of 11 to 60 months, indicating favorable long-term survival.
  • Resection included a wide margin of healthy tissue, contributing to recurrence-free survival.

Conclusions:

  • Aggressive resection with wide margins is crucial for achieving recurrence-free survival in patients with chest wall tumors.
  • Chest wall tumor resection can be performed with low morbidity and yield satisfactory cosmetic results.
  • Surgical intervention provides a viable treatment option for various chest wall pathologies.