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Titolo:
Surgical treatment of chest wall tumors
Autore:
Incarbone, M; Pastorino, U;
Indirizzi:
Ist Clin Humanitas, Dept Thorac Surg, I-20089 Rozzano, MI, Italy Ist Clin Humanitas Rozzano MI Italy I-20089 g, I-20089 Rozzano, MI, Italy Ist Oncol Europeo, Dept Thorac Surg, I-20141 Milan, Italy Ist Oncol Europeo Milan Italy I-20141 Thorac Surg, I-20141 Milan, Italy
Titolo Testata:
WORLD JOURNAL OF SURGERY
fascicolo: 2, volume: 25, anno: 2001,
pagine: 218 - 230
SICI:
0364-2313(200102)25:2<218:STOCWT>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
FACTORS AFFECTING SURVIVAL; SUPERIOR PULMONARY SULCUS; EN-BLOC RESECTION; ABDOMINIS MYOCUTANEOUS FLAP; RECURRENT BREAST-CARCINOMA; BRONCHOGENIC-CARCINOMA; LUNG-CANCER; ADJUVANT CHEMOTHERAPY; RADICAL RESECTION; MALIGNANT-TUMORS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
96
Recensione:
Indirizzi per estratti:
Indirizzo: Incarbone, M Ist Clin Humanitas, Dept Thorac Surg, Via Manzoni 56, I-20089Rozzano, MI,Italy Ist Clin Humanitas Via Manzoni 56 Rozzano MI Italy I-20089 ly
Citazione:
M. Incarbone e U. Pastorino, "Surgical treatment of chest wall tumors", WORLD J SUR, 25(2), 2001, pp. 218-230

Abstract

Chest wall tumors have long represented challenging clinical entities for surgeons. Until recently, incorrect diagnosis, incomplete resection, or inability to perform successful reconstruction of large thoracic wall defects led to high rates of perioperative morbidity and mortality. The latter wereprimarily associated with infections of the pleural cavity, respiratory failure, and paradoxical breathing. The long-term prognosis was also poor owing to a high percentage of local relapse. During the same operating procedure,vide resection and reconstruction of the thoracic wall are performed successfully. Improvement of the prognosis reported in large series of patients with resection leads to surgical treatment being considered the best option for primary tumors and for selected secondary tumors of the chest wall. Because positive margins are the most important risk factor for local recurrence, adequate margins of healthy tissue surrounding the tumors have a considerable impact on disease-free and overall survival. Involvement of ribs,sternum, superior sulcus, or spine is not considered a technical limitation to surgical resection. Nowadays correct management cannot be precluded bytumor size, site, or contiguous structure involvement because concurrent reconstruction with prosthetic materials and myocutaneous flaps is feasible. Surgery provides the best chance of cure in patients with chest wall tumors. Therefore the surgical strategy must be based on the features of the individual's disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/04/20 alle ore 21:02:28