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Survival and prognosis in primary chest wall tumors: a single center experience

Author: 
Cenk Balta and Yekta Altemur Karamustafaoğlu

Objectives: Primary chest wall tumors are originating from bone and soft tissue and consist 1-1.5% of all malignant tumors. The purpose of this study is to determine the diagnosis, survival and treat-ment methods of primary chest wall tumors in a single-center.

Methods: All patient who had pri-mary chest wall tumor and underwent surgery between 01.03.2007 and 01.04.2016 included in this study.

Results: We evaluated 10 male and 9 female patients with ages ranging from 14 to 86 years (mean 50,7). Symptoms were swelling in 10 (52,6%), thoracic pain in 5 (26,3%), both pain and swelling in 3 (15,8%) patients. There was no symptom in a patient. Tumors were originating from bone in 3 patients (15,7%) and soft tissue in 16 patients (84,3%). All tumors were widely resected. Histopathological outcomes were malignant in 12 cases (63%) and benign in 7 cases (37%). There were six morbidities (32%) which is 4 flail chests, a wound infection and a pleural effusion. Ten pa-tients underwent reconstruction: 5 autologous grafts, 5 synthetic grafts. The mean survival were 47 months (range: 3-107 months) in malignant cases and 57 month (range: 6-144 months) in benign cases. Recurrent tumor developed in 5 patients (26,3%).

Conclusions: Wide resection of chest wall tumors is essential to adequate local control and survival.

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