摘要
本文报告胸壁肿瘤47例.良性34例.恶性13例.良性组切除率高.复发率低.胸骨肿瘤恶性为主.胸痛和肿块是本病的两大征象.X 线胸片是主要诊断方法.术前经皮穿刺活检可选用于胸壁软组织肿瘤的诊断.本病宜早期手术治疗.良性者多采用单纯肿瘤切除.恶性者则广泛切除和可靠的胸壁重建.我们体会多孔有机玻璃板是目前较理想的成形材料.对于术后复发者.只要无远隔转移,应尽力再次手术切除肿瘤.
47 cases of chest wall tumors were reported,among them 34 case's were benin,and 13 case's were malignant.Comparing with malignant's group,benign's group had high resective rate and low recurrent rate.This paper revealed most of chest wall tumors were benign except sternal tumors. Chest pain and mass are the main signs.X-ray film is the main method of diagnosis.Needle biopsy can be chosen to establish the diagnosis of chest wall soft tissue's tumors.Chest wall tumor need early surgical treatment. Most benign tumors can be resected.The key to successful management of malignant tumors is early wide radical chest wall resection,and reliable reconstruction of chest wall.We feel that multi-hole ptexiglass plate is the present ideal reconstruetional material.Recurrent tumors should be re-oper- ated for resection,if no evidence of metastasis was found.
