Division of Thoracic Surgery, University of Toronto, Toronto General Hospital, 200 Elizabeth Street, 9N955, Toronto, ON M5G 2C4, Canada.
Thorac Surg Clin. 2010 Nov;20(4):495-507. doi: 10.1016/j.thorsurg.2010.07.003.
The differential diagnosis of chest wall tumors is diverse, including both benign and malignant lesions (primary and malignant), local extension of adjacent disease, and local manifestations of infectious and inflammatory processes. Primary chest wall tumors are best classified by their primary component: soft tissue or bone. Work-up consists of a thorough history, physical examination and imaging to best assess location, size, composition, association with surrounding structures, and evidence of any soft tissue component. Biopsies are often required, especially for soft tissue masses. Treatment depends on histological subtype and location, but may include chemotherapy and radiotherapy in addition to surgical resection.
胸壁肿瘤的鉴别诊断多种多样，包括良性和恶性病变（原发性和转移性）、相邻疾病的局部扩展以及感染和炎症过程的局部表现。原发性胸壁肿瘤最好根据其主要成分进行分类：软组织或骨骼。检查包括详细的病史、体格检查和影像学检查，以最佳评估位置、大小、组成、与周围结构的关系以及任何软组织成分的证据。通常需要进行活检，特别是对于软组织肿块。治疗取决于组织学亚型和位置，但可能包括化疗和放疗以及手术切除。
