Guska, Safet; Pilav, Ilijaz; Mušanović, Safet
July 2013
Medical Journal;jul-sep2013, Vol. 19 Issue 3, p245
Academic Journal
Chest wall tumors are very rare and represent 0.2-2.0% of all tumors discovered in human body. They can arise from all structures of the thoracic wall and generally fall into three categories: non-tumorous disease, primary and secondary (metastatic) tumors. The most often sign and symptom are visible tumor mass united with thoracic pain. Usual diagnostic procedures are different radiological studies, standard laboratory findings and biopsy. Surgery is considered as the best option in the treatment of tumors of the chest wall. Tumors that arise from the soft tissues and do not infiltrate to bone structures are usually cured with a simple resection. Tumors arising from a bone structures and soft-tissue tumors that infiltrate the bone structures are usually treated with the radical surgical methods which sometimes require reconstruction of the chest wall. The aim is evaluation of the effectiveness of surgical treatment of tumors of the chest wall. This retrospective study included 40 patients with chest wall tumors who were surgically treated at the Clinic of Thoracic Surgery- UCC Sarajevo, in the period from January 1, 2008 to January 1, 2011. Data were collected from the medical records of patients (age, sex, local symptoms and signs, hematological and biochemical parameters, results of radiological examinations etc.). The methods of surgical treatment were analyzed in diagnostic and therapeutic direction (complete resection, palliative resection and biopsy only). Efficiency of surgical treatment is estimated on the basis of pathohistological findings. The chest wall tumor has been histologically verified at the Institute of Pathology of UCC Sarajevo. The average age of the patients was 48.25±11.86 years with the male/female ratio 2:1. The average duration of hospitalization was 10.88±4.8 days (up to 14 days for the majority of patients). The most common symptom was pain, reported in 40% (16/40) of cases. Statistically, there is no significant difference (p > 0.53) in the occurrence of tumors in relation to the side of the chest. Complete removal of tumors was done in 75,0% (30/40) of patients. Reconstruction of the chest wall with prosthetic material was required in 6 patients. Analysis of histopathological findings showed a large variety of different diagnoses. Primary tumors were present in 72.5% (29/40) of cases. Secondary tumors were found in 27.5% (11/40) [metastatic 27.3% (3/11), invasions by one of the local tumor 27.3% (3/11)].


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