Clinical Review of Primary Chest Wall Tumors / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 175-181, 2003.
Article
in Korean
| WPRIM
| ID: wpr-31703
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 ANDMETHOD:
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Thoracic Surgery
/
Thoracoplasty
/
Thorax
/
Ulcer
/
Bone and Bones
/
Cartilage
/
Survival Rate
/
Retrospective Studies
/
Follow-Up Studies
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2003
Type:
Article
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