胸壁肿瘤手术治疗进展

Progress in surgical treatment of chest wall tumor

胸壁肿瘤(chest wall tumor, CWT)是一类异质性明显的肿瘤, 涉及多个系统, 包括原发性和继发性。胸壁肿瘤可以按照组织学来源进行分类, 并区分良恶性。除极少数恶性肿瘤外, 手术切除是胸壁肿瘤的首选治疗方法。相对于其他肿瘤, 很多胸壁肿瘤切除后会使胸壁失去完整性及稳定性, 因此术前不仅要评估肿瘤能否切除, 还要评估术后胸壁重建的必要性和可行性。随着医疗技术及水平的发展, 手术治疗胸壁肿瘤的方式、方法有了明显进步。本文对近些年来胸壁肿瘤手术治疗的变化发展进行简要综述, 为临床工作提供参考。

Chest wall tumor(CWT)is a heterogeneous tumor involving multiple systems,including primary and secondary tumors.Chest wall tumors should first be classified according to their histological origin before distinguishing between benign and malignant.Except for a very few malignant tumors,surgical resection is the first choice for the treatment of chest wall tumors.However,chest wall tumors are different from other tumors in that resection of these tumors will compromise the integrity and stability of the chest wall,which makes it necessary before surgery to evaluate not only whether the tumor can be resected,but also the necessity and feasibility of postoperative chest wall reconstruction.With the progress of medical technology,the styles and methods of surgical treatment of chest wall tumors have also made marked advancements.This article aims to briefly review the changes and developments of surgical treatment of chest wall tumors in recent years,so as to provide a reference for clinical work.