Yamazaki K, Koya A, Koshiko S, Sugimoto H, Yatsuyanagi E, Hirata S, Sasajima T
First Department of Surgery, Asahikawa Medical College, Japan.
Kyobu Geka. 1999 May;52(5):392-4.
Twenty-four patients with chest wall tumors underwent resection during the past twenty years. There were 12 female and 12 male patients with ages ranging from 7 months to 78 years (mean 44 years). Five patients had primary malignant neoplasms, 7 had metastases, and 12 had benign tumors. The tumor was located in the soft tissue in 14 patients and in the ribs and the sternum in 10. Ninety-two percent of tumors were diagnosed correctly if they were benign or malignant before resection, however the final diagnosis was made in only 25% of benign tumors and 54% of malignant tumors before surgery. Thirty-one operations were performed in 24 patients and 10 reconstruction with prosthetic materials were done. Concerning malignant neoplasms patients with primary tumors had better prognosis than those with metastases and patients underwent reconstruction had better prognosis than those underwent resection only. We conclude that wide resection with reconstruction is potentially curative treatment.
在过去二十年中，24例胸壁肿瘤患者接受了切除术。其中12例女性患者和12例男性患者，年龄从7个月至78岁不等（平均44岁）。5例患者患有原发性恶性肿瘤，7例有转移瘤，12例有良性肿瘤。14例患者的肿瘤位于软组织，10例位于肋骨和胸骨。如果在切除术前能正确诊断肿瘤为良性或恶性，则92%的肿瘤可被正确诊断，然而术前仅25%的良性肿瘤和54%的恶性肿瘤能得到最终诊断。24例患者共进行了31次手术，其中10次使用假体材料进行了重建。关于恶性肿瘤，原发性肿瘤患者的预后优于转移瘤患者，接受重建的患者的预后优于仅接受切除术的患者。我们得出结论，广泛切除并重建可能是一种治愈性治疗方法。
