Clinical Review of Primary Chest Wall Tumors / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 175-181, 2003.
Article
Dans Ko
| WPRIM
| ID: wpr-31703
Responsable en Bibliothèque :
WPRO
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.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Récidive
/
Chirurgie thoracique
/
Thoracoplastie
/
Thorax
/
Ulcère
/
Os et tissu osseux
/
Cartilage
/
Taux de survie
/
Études rétrospectives
/
Études de suivi
Type d'étude:
Observational_studies
/
Prognostic_studies
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
2003
Type:
Article