Clinical Review of Primary Chest Wall Tumors.
- Author:
Hyo Chae PAIK
1
;
Jeong Han KANG
;
Sung Sil CHOI
;
Kyung Young CHUNG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Korea. kychu@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Thorax neoplasm;
Thoracic surgery;
Thoracoplasty
- MeSH:
Ambulatory Care Facilities;
Bone and Bones;
Cartilage;
Chondrosarcoma;
Follow-Up Studies;
Histiocytoma, Malignant Fibrous;
Humans;
Recurrence;
Retrospective Studies;
Survival Rate;
Thoracic Surgery;
Thoracic Wall*;
Thoracoplasty;
Thorax*;
Ulcer
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(3):175-181
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Primary chest wall tumors originate from soft tissue, bone or cartilage of the chest wall and it comprises 1~2% of all primary tumors. Resection of tumor is often indicated for chronic ulceration or pain, and long-term survival might be achieved after surgery depending on the histology and the surgical procedure. MATERIAL AND METHOD: Retrospective study of 125 primary chest wall tumors (86 benign, 39 malignant) operated between Sep. 1976 to Mar. 2001 were reviewed and their clinical outcomes were analyzed. Follow-up data were collected at the outpatient clinic. RESULT: All patients with benign tumors were treated by excision without recurrence or death, and most malignancies were treated by wide resection. Malignant fibrous histiocytoma and chondrosarcoma constituted 46.2% of the malignant neoplasm. There was no operative death. The overall 3-year survival for patients with primary malignant neoplasm was 76.0%, and the 10-year survival was 60.5%. All deaths were disease-related and the tumor recurred in 11 patients. There was no significant difference in survival between patients with resection margins less than 4 cm and those with resection margins greater than 4 cm. CONCLUSION: Chest wall resection offers excellent results for benign chest wall tumors and substantial long-term survival for malignant diseases. Safe resection margin of 4 cm or more did not correlate with the survival rate although the tumor recurrence correlated with poor survival.
