Surgical treatment of patients
with tumors of the upper chest wall

Тепляков В. В.; Карпенко В. Ю.; Державин В. А.; Пикин О. В.; Бухаров А. В.; Епифанова С. В.; Долгова С. Г.; Каллистов В. Е.; V. V. Teplakov; V. U. Karpenko; V. A. Dergavin; O. V. Pikin; A. V. Buharov; S. V. Iepifanova; S. G. Dolgova; V. E. Kallistov

Surgical treatment of patients with tumors of the upper chest wall

Authors: ¹, ¹, ¹, ¹, ¹, ¹, ¹, ², Teplakov V.V.³, Karpenko V.U.³, Dergavin V.A.³, Pikin O.V.³, Buharov A.V.³, Iepifanova S.V.³, Dolgova S.G.³, Kallistov V.E.⁴
Affiliations:
1. Московский научно-исследовательский онкологический институт им. П.А. Герцена Минздравсоцразвития
2. ФГУ Центральная клиническая больница с поликлиникой УДП РФ
3. Hertcen P.A. Moscow Cancer Research Center
4. Federal State Institution «Central Clinical Hospital with policlinic of Russian federation President management department
Issue: Vol 3, No 1 (2011)
Pages: 18-27
Section: Articles
Published: 11.01.2011
URL: https://sarbon.abvpress.ru/jour/article/view/194
ID: 194

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Abstract

Qbiective. To analyze and estimate the oncological and functional results of surgical treatment of patients with tumors of the upper chest wall Materials and methods. During the period from 2005 to 2011 17 patients, with tumors of the upper part of the chest wall with involvement of bone structures, were treated. Primary tumors of the ribs, sternum or clavicle were found in 8 (46,8%) cases, soft tissues tumors of the of the chest wall with invasion of adjacent bony structures in 5 (30%), metastasis of the chest wall was in 4 (23,2%) cases. Isolated involvement of bone structures diagnosed - in 7 (41%) cases, combined - in 10 (59%) cases. Involvement in the neoplastic process of the chest cavity was in 3 (17,4%) cases. Results. Excellent and good orthopedic and functional results were achieved in 14 patients (82%) and satisfactory in 3 (18%) patients. Progressive disease was noted in 4 (23,5%) cases after 3 to 12 months. Median follow-up of patients was 14,7 months. Died from disease progression 4 (23,5%) patients died from disease progression in the period from 10 to 34 months after the surgery. Conclusion. Our results indicate the need for selecting an active surgical approach in this category of patients. The vast majority of the operations in view of the tentative large deficiency of chest wall is not possible to manage without a reconstructive plastic surgery, which allows to restore the function of skeletal completely, and to prevent the development of cardio-respiratory disturbances and thus to achieve good functional and orthopedic outcome.