McCormack P M, Bains M S, Martini N, Burt M E, Kaiser L R
Surg Clin North Am. 1987 Oct;67(5):979-86. doi: 10.1016/s0039-6109(16)44336-7.
The 5 per cent of patients with carcinoma of the lung directly invading the chest wall present a challenge for treatment. Complete resection of all tumor, including the chest wall, should be done. Immediate reconstruction to prevent a flail chest ensures a smooth postoperative course. Excellent palliation and a 46 per cent 5-year survival rate can be achieved if there is no spread to mediastinal lymph nodes.
5%的肺癌患者肿瘤直接侵犯胸壁,这给治疗带来了挑战。应进行包括胸壁在内的所有肿瘤的完整切除。立即进行重建以防止连枷胸,可确保术后过程顺利。如果没有纵隔淋巴结转移,可实现良好的姑息治疗效果和46%的5年生存率。