Trapeznikov N N, Cheremushkin E A, Luk'ianchenko A B, Khmelev O N
Vopr Onkol. 1990;36(8):927-34.
Results of examination and treatment of 24 patients with primary neoplasms of the sternum including chondrosarcoma (18 cases), solitary plasmacytoma (5) and osteogenic sarcoma (1) were analysed. The diagnosis was based mainly on X-ray procedures and was further improved by computed tomography which allowed to precisely evaluate the extent of intrathoracic mass and its relation to adjacent mediastinal structures. Surgery was the main procedure used for the treatment of primary tumors of the sternum. Sixteen patients were operated on, and not a single case showed involvement of the mediastinum. Closure of defect was the major difficulty involved in the surgical treatment. Adequate resection of the sternum followed by autoplasty yielded good results.
对24例原发性胸骨肿瘤患者（包括软骨肉瘤18例、孤立性浆细胞瘤5例和成骨肉瘤1例）的检查和治疗结果进行了分析。诊断主要基于X线检查，计算机断层扫描进一步完善了诊断，其能够精确评估胸腔内肿块的范围及其与相邻纵隔结构的关系。手术是治疗原发性胸骨肿瘤的主要方法。16例患者接受了手术，无一例显示纵隔受累。缺损闭合是手术治疗中的主要难点。对胸骨进行充分切除并随后进行自体成形术取得了良好效果。
