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Chest wall tumors. Experience with 100 consecutive patients.
The Journal of Thoracic and Cardiovascular Surgery
|September 1, 1985
Summary
Aggressive resection of chest wall tumors, including primary malignant, metastatic, and benign types, is safe and effective. Early wide resection with reliable reconstruction offers a potentially curative treatment for many patients.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
Background:
- Chest wall tumors encompass a range of conditions, including primary malignant neoplasms, metastases, and benign growths.
- Surgical resection is a primary treatment modality, often requiring complex reconstruction.
Purpose of the Study:
- To review outcomes of chest wall tumor resections over an 8-year period.
- To evaluate the safety and efficacy of aggressive surgical management and reconstruction techniques.
Main Methods:
- Retrospective review of 100 consecutive patients undergoing chest wall tumor resection.
- Analysis of tumor type, location, surgical procedures (resection, reconstruction), complications, and follow-up data.
Main Results:
- 50 primary malignant, 32 metastatic, 18 benign tumors treated. Ribs resected in 78 patients, sternum in 22.
- Reconstruction utilized prosthetic material (57) or autogenous ribs (11); muscle transpositions were common.
- Low operative mortality (1%) and complication rate (9%). Survival rates varied by tumor type: 100% for benign, 95% for primary malignant, 41% for metastatic.
Conclusions:
- Aggressive resection and reliable reconstruction for chest wall tumors can be performed safely.
- Early wide resection is a potentially curative treatment, especially for primary malignant and benign tumors.
- Metastatic disease significantly impacts long-term survival, accounting for most late deaths.