Document Detail

Primary chest wall tumors: factors affecting survival.
MedLine Citation:
PMID:  3013106     Owner:  NLM     Status:  MEDLINE    
Between 1955 and 1975, chest wall resection was done in 90 patients for primary chest wall tumors. Ages ranged from 8 to 96 years (mean, 44.3 years). A painful mass was the most common sign and symptom. Eighty-two tumors (91.1%) were located in the lateral chest wall and eight, in the anterior thorax. The tumor was malignant in 71 patients (78.9%) and benign in 19. All patients with benign tumors had complete excision and are currently free from disease. Malignant fibrous histiocytoma, chondrosarcoma, and rhabdomyosarcoma constituted 62% of the malignant neoplasms. Most malignancies were treated by wide resection. There were no thirty-day operative deaths. Overall 1-, 5-, and 10-year survival was 89%, 57%, and 49%, respectively. Recurrent tumor developed in 37 patients (52%); 5-year survival, however, was only 17% after recurrence. Cell type and extent of invasion significantly influenced survival. Both chondrosarcoma and rhabdomyosarcoma had a better prognosis than malignant fibrous histiocytoma (p less than 0.05). We conclude that early resection is the treatment of choice for primary malignant chest wall tumors and that development of recurrent disease is an ominous event.
R M King; P C Pairolero; V F Trastek; J M Piehler; W S Payne; P E Bernatz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  41     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1986 Jun 
Date Detail:
Created Date:  1986-07-03     Completed Date:  1986-07-03     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  597-601     Citation Subset:  AIM; IM    
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MeSH Terms
Chondrosarcoma / diagnosis,  mortality
Fibroma / diagnosis,  mortality
Histiocytoma, Benign Fibrous / diagnosis,  mortality
Middle Aged
Rhabdomyosarcoma / diagnosis,  mortality
Thoracic Neoplasms / diagnosis*,  mortality

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