Department of Thoracic Surgery, Vanderbilt University Medical Center, 1313 21st Avenue South, 609 Oxford House, Nashville, TN 37232-4682, USA.
Thorac Surg Clin. 2010 Nov;20(4):535-42. doi: 10.1016/j.thorsurg.2010.07.005. Epub 2010 Aug 30.
Chest wall resection requires wide local excision, negative margins, and adequate reconstruction. Outcomes are generally good to excellent with wide local excision and negative margins. Mortality is nearly 0% to 1% with mild morbidity. Multispecialty surgical teams may be required for more complex situations. Early diagnosis of chest wall sarcomas, confirmation by an experienced sarcoma pathologist, and multidisciplinary discussion before treatment initiation, are all required for optimal and successful therapy.
胸壁切除术需要广泛的局部切除、阴性切缘和充分的重建。广泛局部切除和阴性切缘的预后通常良好到极好。死亡率接近 0%至 1%，轻度发病率。对于更复杂的情况，可能需要多学科手术团队。胸壁肉瘤的早期诊断、由经验丰富的肉瘤病理学家确认以及在治疗开始前进行多学科讨论，都是获得最佳和成功治疗所必需的。
