Interdisciplinary Treatment of Malignant Chest Wall Tumors

Khamitov K, Dudek W, Arkudas A, Haj Khalaf M, Parjiea C, Higaze M, Horch RE, Sirbu H (2023)


Publication Type: Journal article

Publication year: 2023

Journal

Book Volume: 13

Article Number: 1405

Journal Issue: 9

DOI: 10.3390/jpm13091405

Abstract

Background: Chest wall resections for malignant chest wall tumors (MCWTs), particularly those with full-thickness chest wall involvement requiring reconstruction, present a therapeutic challenge for thoracic and plastic reconstructive surgeons. The purpose of this study was to review our experience with chest wall resection for primary and metastatic MCWTs, with a focus on perioperative outcomes and postoperative overall survival (OS). Methods: All patients who underwent surgical resection for primary and secondary MCWTs at our single institution between 2000 and 2019 were retrospectively analyzed. Results: A total of 42 patients (25 male, median age 60 years) operated upon with curative (n = 37, 88.1%) or palliative (n = 5, 11.9%) intent were reviewed. Some 33 (78%) MCWTs were of secondary origin. Chest wall reconstruction was required in 40 (95%) cases. A total of 13 (31%) patients had postoperative complications and one (2.3%) died perioperatively. The 5-year postoperative overall survival rate was 51.9%. The postoperative 5-year survival rate of 42.6% in patients with secondary MCWTs was significantly lower compared to the figure of 87.5% in patients with primary MCWTs. Conclusions: In well-selected patients, chest wall resections for primary and secondary MCWTs are feasible and associated with good perioperative outcomes. For secondary MCWTs, surgery can also be performed with palliative intent.

How to cite

APA:

Khamitov, K., Dudek, W., Arkudas, A., Haj Khalaf, M., Parjiea, C., Higaze, M.,... Sirbu, H. (2023). Interdisciplinary Treatment of Malignant Chest Wall Tumors. Journal of Personalized Medicine, 13(9). https://dx.doi.org/10.3390/jpm13091405

MLA:

Khamitov, Koblandy, et al. "Interdisciplinary Treatment of Malignant Chest Wall Tumors." Journal of Personalized Medicine 13.9 (2023).

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