scholarly journals Primary chest wall neoplasms - an experience of 39 patients

2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Muhammad Salim ◽  
Aamir Bilal ◽  
Muhammad Shoaib Nabi
Keyword(s):  
Chest Wall ◽  
Primary Closure ◽  
Medical Institute ◽  
Chest Wall Resection ◽  
Chest Wall Tumor ◽  
Respiratory Compromise ◽  
Term Survival ◽  
Chest Wall Tumors ◽  
One Year ◽  
Painless Mass

Objective: To evaluate treatment approaches, role of surgical resection and reconstruction and outcome of patients with primary chest wall tumor. Study Design A prospective observational study. Place and Duration. The study was conducted at the Department of Cardiothoracic Surgery, Postgraduate Medical Institute, Lady Reading Hospital from March 1996 to April 2000. Patient and Methods A total of 39 patients underwent resection for primary chest wall tumors. Male were 27 and female were 12. Age range was 15 years - 55 years with a mean age of 23±2 years. 75% of patients presented with a painless mass while 25% complained of pain. Twenty three were on right side, twelve were on the left side while 4 extended onto the sternum. Sizes were <3cm (7 patients), 3-5cm (24 patients), 5-10cm (6 patients) and > 10cm (2 patients). Chest radiograph in all and CT thorax was done in 20 cases. Out of 39 cases, 25 had previous biopsies attempted by other surgeons leading to ulceration and fungation in 18 cases. Chest wall resection and primary closure was done in 33 cases. In 4 cases marlex mesh alone was used while in 2 cases it was reinforced with Methyl Methacrylate. Results Mean operative time was 68 (+/-40) minutes. Postoperatively, 19 patients required ventilation. Out of these, 14 patients were extubated the same day, 3 the next day while 02 patients died despite prolonged ventilation. Post-operative flail was observed in 3 cases without respiratory compromise. Histopathology reporting were chondrosarcoma in 24, fibrosarcoma in 6 cases while the rest were not reported. Twenty one patients were followed-up for up to one year with no evidence of disease while the remaining were lost to follow up. Conclusion To conclude primary chest wall tumors can be safely managed by resection and primary closure or chest wall reconstruction and are associated with long term survival.

Chest wall and diaphragm reconstruction; a technique not well established in literature

2020 ◽  
Author(s):  
Riad Abdel Jalil ◽  
Hanna Kakish ◽  
Mohamad K. Abou Chaar ◽  
Obada Al-Qudah
Keyword(s):  
Chest Wall ◽  
Essential Element ◽  
Chest Wall Resection ◽  
Chest Wall Tumor ◽  
Case Presentation ◽  
Chest Wall Tumors ◽  
Safe Technique ◽  
Ptfe Mesh ◽  
Skeletal Reconstruction ◽  
Wall Tumor

Abstract Introduction: The treatment for most primary chest wall tumors is wide excision. After radical chest wall resection, skeletal reconstruction, when appropriate to preserve the reconstruction, is the essential element for successful management. Case presentation: We describe a case of a 27-year-old male patient who had chest wall and diaphragm reconstruction for a recurrent chest wall tumor, using a single patch of Polytetrafluoroethylene (PTFE) mesh with diaphragm implanted into the middle of the mesh. There were no operative complications. The patient received post-operative radiotherapy with good functional and cosmetic results. Conclusion: We present a novel and safe technique resulting in stable results after full-thickness multi-rib chest wall resections involving the diaphragm.

scholarly journals Human Dirofilariasis Due to D.Repens Presenting as a Chest Wall Swelling : A Rare Case Report

2012 ◽  
Vol 02 (01) ◽  
pp. 51-53
Author(s):  
Harish S. Permi ◽  
Pretty D'Souza ◽  
K.R. Bhagavan ◽  
Mary Raju ◽  
Pooja Sarda
Keyword(s):  
Chest Wall ◽  
Rare Case ◽  
Histopathological Examination ◽  
Chest Wall Tumor ◽  
Anopheles Mosquitoes ◽  
Chest Wall Tumors ◽  
Rare Case Report ◽  
Human Dirofilariasis ◽  
Wall Tumor

AbstractPrimary Dirofilariasis is caused by a Zoonotic filarial nematode. It is transmitted to humans by Culex, Aedes, or Anopheles mosquitoes, which ingest blood-containing microfilaria from affected dogs, cats, or raccoons. Chest wall tumors are uncommon lesions that originate from blood vessels, nerves, bone, cartilage, or fat. We report a case of Human Dirofilariasis due to D. Repens occurring in the chest wall in a 32 year old male. Clinical diagnosis of benign chest wall tumor was considered and it was excised. Histopathological examination confirmed it as Dirofilaria repens. On regular follow up he is doing fine.

Chest Wall Tumors

1998 ◽  
Vol 6 (3) ◽  
pp. 212-215 ◽  
Author(s):  
B Ali Özuslu ◽  
Onur Genç ◽  
Sedat Gürkök ◽  
Kunter Balkanli
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Distant Metastases ◽  
Metastatic Tumor ◽  
Prosthetic Material ◽  
Benign Tumors ◽  
Chest Wall Resection ◽  
En Bloc ◽  
Reconstructive Procedures ◽  
Chest Wall Tumors

We reviewed 94 consecutive patients who underwent resection of soft tissue or bone tumors of the chest wall between September 1989 and December 1996. There were 3 females and 91 males ranging in age from 12 to 69 years (median, 22.85 years); 16 had a primary malignant tumor, 11 had a metastatic tumor, and 67 had a benign tumor. Sixty-four patients underwent resection of the chest wall skeleton. Overlying soft tissue was resected en bloc in 15 patients. Chest wall defects were not reconstructed with prosthetic material or autogenous grafts because the defects were not large. Soft tissue reconstructive procedures were predominantly muscle transposition. There were no early postoperative complications and the median hospitalization was 14.2 days (range, 6 to 47 days). Follow-up was complete in all patients and ranged from 2 to 36 months (median, 24.5 months). All patients with benign tumors are currently alive. Recurrent chest wall tumors developed in 5 patients and they underwent a second operation. Nine patients died from distant metastases. There were no early or late deaths related to either resection or reconstruction of the chest wall. We conclude that wide or adequate chest wall resection, depending on histopathologic type of tumor, is the key to successful management of chest wall tumors. In general, this procedure can be performed in one operation with a short hospital stay and low operative mortality.

scholarly journals Multidisciplinary approach to chest wall resection and reconstruction for chest wall tumors, a single center experience

2017 ◽  
Vol 9 (12) ◽  
pp. 5093-5100 ◽  
Author(s):  
Elisa Scarnecchia ◽  
Valeria Liparulo ◽  
Alessandra Pica ◽  
Giuseppe Guarro ◽  
Carmine Alfano ◽  
...  
Keyword(s):  
Chest Wall ◽  
Multidisciplinary Approach ◽  
Chest Wall Resection ◽  
Single Center ◽  
Chest Wall Tumors ◽  
Single Center Experience

scholarly journals Reconstruction methods in chest wall resections

2021 ◽  
pp. 1-6
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Preoperative Evaluation ◽  
Chest Wall Resection ◽  
Soft Tissue Coverage ◽  
Chest Wall Tumors ◽  
Metastatic Lesions ◽  
Reconstruction Methods ◽  
Pulmonary Mechanic ◽  
Skeletal Stability

Chest wall defects generally result from resection of primary chest wall tumors, locally-invasive malignancies, or metastatic lesions. After an R0 chest wall resection, first skeletal stability must be established with prosthetic or bioprosthetic materials, or a combination of both. Regardless of the technique used to establish skeletal stability, soft tissue coverage of the prosthesis is necessary. The primary goals of all chest wall reconstructions are to obliterate dead space, restore chest wall rigidity, preserve pulmonary mechanic, protect intrathoracic organs and provide soft tissue coverage. In this article, our aim is to review the basic principles and indications of the chest wall resection and reconstruction, preoperative evaluation of patients, and the materials and methods used for the reconstruction.

scholarly journals Multidisciplinary Oncoplastic Approach Reduces Infection in Chest Wall Resection and Reconstruction for Malignant Chest Wall Tumors

2016 ◽  
Vol 4 (7) ◽  
pp. e809 ◽  
Author(s):  
Haitham H. Khalil ◽  
Marco N. Malahias ◽  
Balapathiran Balasubramanian ◽  
Madava G. Djearaman ◽  
Babu Naidu ◽  
...  
Keyword(s):  
Chest Wall ◽  
Chest Wall Resection ◽  
Chest Wall Tumors

Long-Term Survival With Chest Wall Resection and Pulmonary Metastasectomy for Hepatocellular Carcinoma

2015 ◽  
Vol 99 (2) ◽  
pp. 695-698 ◽  
Author(s):  
Shinya Ito ◽  
Takashi Yoshimura ◽  
Takeshi Kondo ◽  
Koichi Tamura ◽  
Naoki Yamashita ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Chest Wall ◽  
Pulmonary Metastasectomy ◽  
Chest Wall Resection ◽  
Term Survival ◽  
Long Term Survival

scholarly journals Surgical treatment of chest wall tumors (resection and reconstruction) A six years experience

2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Muhammad Shoaib Nabi ◽  
Aamir Bilal ◽  
Fareed Ahmad Khan ◽  
Ijaz A ◽  
Rana O A ◽  
...  
Keyword(s):  
Chest Wall ◽  
Primary Repair ◽  
Chronic Obstructive ◽  
Chest Wall Resection ◽  
Soft Tissue Coverage ◽  
Obstructive Pulmonary Disease ◽  
Chest Wall Tumors ◽  
Tobacco Abuse ◽  
Postoperative Length ◽  
Artery Disease

Background: Chest wall resection and reconstruction remains one of the most challenging areas of Thoracic & Plastic Surgery. The purpose of this study is to report our 6-year experience with chest wall resections and reconstructions. Methods: A retrospective review of 36 patients who had chest wall resections from 1998 to 2003 was performed. Result: Patient demographics included tobacco abuse, hypertension, diabetes mellitus, niswar abuse, coronary artery disease, chronic obstructive pulmonary disease, and HCV +ve. Surgical indications included chest wall tumors, and lung cancer involving the chest wall. The mean number of ribs resected was 4±2 ribs. Thirty four patients underwent chest wall resections. Two patients underwent right upper lobectomy along with chest wall resections. Immediate closure was performed in all 36 patients. Primary repair without the use of reconstructive techniques was possible in 9 patients. Synthetic chest wall reconstruction was performed using Prolene mesh, Marlex mesh, methyl methacrylate sandwich, and polytetrafluoroethylene. Flaps utilized for soft tissue coverage were pedicled flaps (2 patients). Mean postoperative length of stay was 14±12 days. Mean intensive care unit stay was 5+4 days. In-hospital and 30-day survival was 100%. Conclusions: Chest wall resection with reconstruction can be performed as a safe, effective one-stage surgical procedure for a variety of major chest wall defects.

scholarly journals Chest Wall Tumors: A Spectrum of Different Pathologies and Outcomes of Reconstruction Techniques

2020 ◽  
Vol 2 (3) ◽  
pp. 114-125
Author(s):  
Mohammed Sanad ◽  
Mohammed Adel Hegazy ◽  
Mohammed ELshabrawy Saleh
Keyword(s):  
Chest Wall ◽  
Multidisciplinary Team ◽  
Surgical Techniques ◽  
Muscle Flap ◽  
Chest Wall Resection ◽  
Team Approach ◽  
Direct Closure ◽  
Chest Wall Tumors ◽  
Multidisciplinary Team Approach

Background: Chest wall resection and further reconstruction for tumors represent a challenging concept for surgeons. Thanks to the evolving reconstruction techniques, good results were obtained after extensive resection and reconstruction. Patients and methods: This prospective cohort study was conducted at our University Hospitals throughout 5 years. A total of 43 eligible cases with chest wall tumors were included. All cases were subjected to a multidisciplinary team approach, complete history taking, physical examination, radiological evaluation, and biopsy. The details of surgical techniques, complications, and follow up parameters were included. Results: The mean age of the included cases was 29.45 years. We included a total of 24 males (55.8%). Fibromatosis was the commonest encountered pathology (27.9%), followed by chondrosarcoma (25.5%), and osteosarcoma (21%). Regarding the method of reconstruction, polypropylene mesh was used in 46.5% of cases, followed by direct closure (30.2%). Ten cases were managed by Methyl Methacrylate within the proline mesh (23.3%), while superimposed muscle flap was performed in only 2 cases (4.6%). Post-operatively, bleeding was encountered in 5 cases collectively (11.6%), while wound infection occurred in 11.6% of cases. Pulmonary complications included pneumonia (2.3%) and atelectasis (11.6%). Furthermore, chest wall instability was present in (11.6%) of cases. On follow up, recurrence was diagnosed in (9.3%) of cases (n = 4). Conclusion: Surgical intervention is very effective if tailored to every patient as per team paln. A multidisciplinary team approach is extremely important especially if an extensive demolition is required. Indeed, radical wide en-bloc resection can achieve satisfactory results provided that the extent of resection is not influenced by any anticipated reconstruction problems.

scholarly journals Malignant Phyllodes Tumor with Chondrosarcomatous Differentiation: Radiological-Pathological Correlation

2014 ◽  
Vol 4 ◽  
pp. 52 ◽  
Author(s):  
Kathyayini Paidipati Gopalkishna Murthy ◽  
Ranjani Padmanabhan Chakravarthy
Keyword(s):  
Chest Wall ◽  
Phyllodes Tumor ◽  
Chest Wall Resection ◽  
Chest Wall Tumor ◽  
Imaging Features ◽  
Malignant Phyllodes Tumor ◽  
Chest Wall Invasion ◽  
Epithelial Component ◽  
Stromal Component ◽  
Wall Invasion

We present a case of a 63-year-old woman with malignant phyllodes tumor in her left breast. On imaging, a large, dumbbell-shaped, predominantly cystic mass with thin peripheral enhancement was noted. The lesion was causing rib destruction, chest wall invasion, and intrathoracic extension. These aggressive imaging features were considered highly suspicious of a malignant chest wall tumor. Subsequent chest wall resection of the tumor showed breast tissue with a biphasic lesion composed of proliferated spindle cells in loose sheets with extensive islands of atypical cartilage and a scanty epithelial component, including compressed ducts in the periphery of the lesion. A diagnosis of a malignant phyllodes tumor with stromal overgrowth and chondrosarcomatous differentiation was made in view of the presence of a benign epithelial component and negative reaction of the stromal component with a pancytokeratin. To the best of our knowledge, a phyllodes tumor with the radiological features of chest wall invasion and intrathoracic extension has not been described in the literature until now. Malignant phyllodes should be included in the list of differentials along with sarcomas on encountering lesions with such aggressive imaging features.

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