Surgical treatment results in primary chest wall tumors. a single institution experience

Yanik Fazli., Karamustafaoglu Yekta Altemur., Sagiroglu Gonul., Balta Cenk and Yoruk Yener

Background:Primary chest wall tumors constitute 1-2% of all malignancies, 5% of thorax tumors, and are histopathologicallymalignant in 80% of cases. Cases whichwere operated on due to primary chest wall tumor between March 2007 and October 2014 at our clinic were evaluated retrospectively in our study assingle institution experience.
Methods:A total of ten men and seven womencases witha mean age of 50.5 (range: 14-86) years were surgically treated. Tumors originated from the bony structures in nine (53%) cases, and from soft tissue structures in eight (47%) cases.Age, gender, symptoms, place and diameter of tumor, complications, recurrence, treatment methods, survival, duration of hospitalization, materials used for reconstruction, and survival outcomes were evaluated retrospectively.
Results:Rib resection was performed in eight cases, sternum resection was performed in one case, rib resection and partial sternum resection were performed in one case (accompanying pulmonary wedge resection in three cases), and soft tissue resection was performed in seven cases. Defects were reconstructed infive cases using various materials. The mean tumor diameter was 10.5±4.4 (4-20) cm. Histopathological diagnosis after resection was sarcoma in six (35%), mesenchymal tumor in six (35%), schwannoma in three (18%), desmoidtumor in one (6%), and chondroma in one (6%) case.Median survival was 40±35.2 (range: 3-96) months. No mortality was observed in the early phase, and one case developed wound infection.One other case developed seroma and pleural effusion during the follow-up.
Conclusions: Chest wall tumors typically present themselves with pain or swelling. Early diagnosis and wide resection with negative surgical margins are required for the best treatment.

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