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Clinical Review of Primary Chest Wall Tumors  

백효채 (연세대학교 의과대학 흉부외과학교실)
강정한 (연세대학교 의과대학 흉부외과학교실)
최성실 (연세대학교 의과대학 흉부외과학교실)
정경영 (연세대학교 의과대학 흉부외과학교실)
Publication Information
Journal of Chest Surgery / v.36, no.3, 2003 , pp. 175-181 More about this Journal
Abstract
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.
Keywords
Thorax neoplasm; Thoracic surgery; Thoracoplasty;
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