原发性胸壁肿瘤的诊断和治疗(附24例报告)

A Report of 24 Cases of Primary Tumor of Chest Wall

作者自1978年至1988年1月共治疗原发性胸壁肿瘤24例,男16例,女8例。年龄7至59岁,诊断主要根据病史、症状,体验,X线片和针吸活检而定。 16例良性肿瘤行肿瘤及部分肋骨切除术,均无复发。恶性肿瘤8例均行肿瘤广泛切除及胸壁缺损修补术,其中3例死于转移,1例非瘤死亡,1例胸椎转移仍继续存活11个月,3例生存2～8个月未见异常。

From 1978 to January 1988, 24 patients with primary tumors of chest wall were diagnosed and treated in our hospital. In this series 16 were male and 8 female, and the age ranged from 7 to 59 years. The diagnosis was made on clinical history, symptom, physical examination, X-ray and puncture biopsy. Of the 24 cases 16 were pathologically confirmed as benign lesion and treated by tumor excision and partial rib resection with no relapse after the operation. Extensive resection of tumor and reconstruction of chest wall were performed on all the 8 patients with malignant tumors. Of the latter 3 died of metastases, 1 died from non-cancerous disease, 1 is still alive for 11 months with thoracic vertebra metastasis, and 3 are alive for 2-8 months free of the disease.