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The Journal of Thoracic and Cardiovascular Surgery, Vol 90, 367-372, Copyright © 1985 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
PC Pairolero and PG Arnold
One hundred consecutive patients with chest wall tumors undergoing
resection during the past 8 years were reviewed. There were 55 female and
45 male patients with ages ranging from 12 to 84 years (median 54.5 years).
Fifty patients had primary malignant neoplasms, 32 had metastases, and 18
had benign tumors. The tumor was located in the ribs in 78 patients and in
the sternum in 22. The number of ribs resected ranged from one to eight
(median 3.4). Sternectomy was performed in 22 patients. Overlying soft
tissue was resected en bloc in 47 patients. Reconstruction was with
prosthetic material in 57 patients and autogenous ribs in 11. There were
100 muscle transpositions, including 45 pectoralis major, 33 latissimus
dorsi, and 9 serratus anterior. Hospitalization ranged from 4 to 80 days
(median 9.6 days). Complications occurred in nine patients. One patient
required tracheostomy. There was one operative death. Median follow-up was
31.5 months. Recurrent tumor developed in seven patients. All patients with
benign tumor and 95% of patients with primary tumor not previously treated
were alive. However, only 41% of patients with metastatic tumor were alive.
Metastases were responsible for 89% of late deaths. We conclude that
aggressive resection for chest wall tumor with reliable reconstruction can
be accomplished safely and that early wide resection is potentially
curative treatment.
ARTICLES
Chest wall tumors. Experience with 100 consecutive patients
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