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Chest Wall Tumors

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Surgery for Chest Wall Deformities

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Abstract

The musculoskeletal structure of the chest wall serves to protect the thoracic and mediastinal viscera, while providing integrity for respiration. The complex relationship of all anatomic components contributes to its function but also makes it susceptible to a wide variety of pathology. Thus, tumors of the chest wall represent a diagnostic and therapeutic challenge. Chest wall masses have a broad differential diagnosis including local extension of intrathoracic lesions, presentations of systemic diseases or inflammatory processes, metastasis, and less frequently, primary tumors of the chest wall, which can be benign or malignant. More than 50 % are malignant and are most commonly a result of direct invasion or metastasis from adjacent thoracic tumors [1]. Overall, primary chest wall tumors make up less than 5 % of thoracic malignancies and vary widely in pathology, as they arise from all anatomic structures comprising the chest wall [2, 3]. This chapter reviews the pathology, options for diagnosis, and standard treatment of the various lesions arising from the chest wall.

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References

  1. Park BJ, Flores RM. Chest wall tumors. In: Shields TW, Locicero J, Reed CE, Feins RH, editors. General thoracic surgery. Philadelphia: Lippincott; 2009. p. 669–78.

    Google Scholar 

  2. David E, Marshall M. Review of chest wall tumors: a diagnostic, therapeutic, and reconstructive challenge. Semin Plast Surg. 2011;25:16–24.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Smith SE, Keshavjee S. Primary chest wall tumors. Thorac Surg Clin. 2010;20:495–507.

    Article  PubMed  Google Scholar 

  4. Shah AA, D’Amico TA. Primary chest wall tumors. J Am Coll Surg. 2010;210:360–6.

    Article  PubMed  Google Scholar 

  5. Tateishi U, Gladish GW, Kusumoto M, et al. Chest wall tumors: radiologic findings and pathologic correlation: part1. Benign tumors. Radiographics. 2003;23:1477–90.

    Article  PubMed  Google Scholar 

  6. Rocca M, et al. The role of imaging for the surgeon in primary malignant bone tumors of the chest wall. Eur J Radiol. 2013;82:2070–5.

    Article  CAS  PubMed  Google Scholar 

  7. Lee TJ, Collins J. MR imaging evaluation of disorders of the chest wall. Magn Reson Imaging Clin N Am. 2008;16:355–79. x.

    Article  PubMed  Google Scholar 

  8. Carter BW, Gladish GW. MR imaging of chest wall tumors. Magn Reson Imaging Clin N Am. 2015;23:197–215.

    Article  PubMed  Google Scholar 

  9. Incarbone M, Pastorino U. Surgical treatment of chest wall tumors. World J Surg. 2001;25:218–30.

    Article  CAS  PubMed  Google Scholar 

  10. Kim JY, Hofstetter WL. Tumors of the mediastinum and chest wall. Surg Clin North Am. 2010;90:1019–40.

    Article  PubMed  Google Scholar 

  11. Petermann D, Allenbach G, Schmidt S, et al. Value of positron emission tomography in full-thickness chest wall resections for malignancies. Interact Cardiovasc Thorac Surg. 2009;9:406.

    Article  PubMed  Google Scholar 

  12. Caroli G, et al. Accuracy of transthoracic ultrasound for the prediction of chest wall infiltration by lung cancer and of lung infiltration by chest wall tumors. Heart Lung Circ. 2015;24:1–7. http://dx.doi.org/10.1016/j.hlc.2015.03.018

  13. Kucharczuk JC, Kaiser LR. Chest wall resections. In: Kaiser LR, Kron IL, Spray TL, editors. Mastery of cardiothoracic surgery. Philadelphia: Lippincott; 2007. p. 222–7.

    Google Scholar 

  14. Tomo H, Ito Y, Aono M, Takaoka K. Chest wall deformity associated with osteochondroma of the scapula: a case report and review of the literature. J Shoulder Elbow Surg. 2005;14:103–6.

    Article  PubMed  Google Scholar 

  15. Dingemann C, et al. Thoracic wall reconstruction for primary malignancies in children: short- and long-term results. Eur J Pediatr Surg. 2012;22:34–9.

    Article  CAS  PubMed  Google Scholar 

  16. Shackcloth MJ, Page RD. Scapular osteochondroma with reactive bursitis presenting as a chest wall tumour. Eur J Cardiothorac Surg. 2000;18:495–6.

    Article  CAS  PubMed  Google Scholar 

  17. Abbas AE, Deschamps C, Cassivi SD, et al. Chest-wall desmoid tumors: results of surgical intervention. Ann Thorac Surg. 2004;78:1219–23. discussion 1219-1223.

    Article  PubMed  Google Scholar 

  18. Matrai Z, et al. Sporadic desmoid tumors of the chest: long-term follow-up of 28 multimodally treated patients. Eur J Cardiothorac Surg. 2011;40:1170–6.

    PubMed  Google Scholar 

  19. Eroglu A, Kurkcuoglu IC, Karaoglanoglu N. Solitary eosinophilic granuloma of sternum. Ann Thorac Surg. 2004;77:329–31.

    Article  PubMed  Google Scholar 

  20. Bayram AS, Koprucuoglu M, Filiz G, Gebitekin C. Case of solitary eosinophilic granuloma of the sternum. Thorac Cardiovasc Surg. 2008;56:117–8.

    Article  CAS  PubMed  Google Scholar 

  21. Biswas S, Keddington J. Soft right chest wall swelling simulating lipoma following motor vehicle accident: transdiaphragmatic intercostal hernia. A case report and review of literature. Hernia. 2008;12:539–43.

    Article  CAS  PubMed  Google Scholar 

  22. Takamori S, Miwa K, Hayashi A, Shirouzu K. Intramuscular lipoma in the chest wall. Eur J Cardiothorac Surg. 2004;26:1038.

    Article  PubMed  Google Scholar 

  23. Ozpolat B, Ozeren M, Akkaya T, Yucel E. Giant lipoma of chest wall. Eur J Cardiothorac Surg. 2004;26:437.

    Article  PubMed  Google Scholar 

  24. Eren S, Avci A. Giant cystic lymphangioma in the thoracic wall in a newborn. Asian Cardiovasc Thorac Ann. 2009;17:659.

    Article  PubMed  Google Scholar 

  25. Yildirim E, Dural K, Kaplan T, Sakinci U. Cystic lymphangioma: report of two atypical cases. Interact Cardiovasc Thorac Surg. 2004;3:63–5.

    Article  PubMed  Google Scholar 

  26. Sakurai K, Hara M, Ozawa Y, Nakagawa M, Shibamoto Y. Thoracic hemangiomas: imagining via CT, MR and PET along with pathologic correlation. J Thorac Imaging. 2008;23:114–20.

    Article  PubMed  Google Scholar 

  27. Griffo S, Stassano P, De Luca G, Di Tommaso L, Monaco M, Spiezia S. Intramuscular hemangioma of the chest wall: an unusual tumor. J Thorac Cardiovasc Surg. 2007;134:1368–9.

    Article  PubMed  Google Scholar 

  28. Gallo AE, Coady MA. Chest wall tumors. In: Yuh DD, Vricella LA, Baumgartner WA, editors. The Johns Hopkins manual of cardiothoracic surgery. New York: McGraw Hill; 2007. p. 75–90.

    Google Scholar 

  29. Bolke E, Krasniqi H, Lammering G, et al. Chest wall and intrathoracic desmoid tumors: surgical experience and review of the literature. Eur J Med Res. 2009;14:240–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Tateishi U, Gladish GW, Kusumoto M, et al. Chest wall tumors: radiologic findings and pathologic correlation: part 2. Malignant tumors. Radiographics. 2003;23:1491–508. Review.

    Article  PubMed  Google Scholar 

  31. Stanic V, Vulovic T, Novakovic M, et al. Radical resection of giant chondrosarcoma of the anterior chest wall. Vojnosanit Pregl. 2008;65:64–8.

    Article  PubMed  Google Scholar 

  32. Somers J, Faber LP. Chondroma and chondrosarcoma. Semin Thorac Cardiovasc Surg. 1999;11:270–7.

    Article  CAS  PubMed  Google Scholar 

  33. Widhe B, Bauer HCF, Scandinavian Sarcoma Group. Surgical treatment is decisive for outcome in chondrosarcoma of the chest wall: a population-based Scandinavian Sarcoma Group study of 106 patients. J Thorac Cardiovasc Surg. 2009;137:610–4.

    Article  PubMed  Google Scholar 

  34. Lee WS, Kim YH, Chee HK, et al. Multimodal treatment of primary extra skeletal Ewing’s sarcoma of the chest wall: report of 2 cases. Cancer Res Treat. 2009;41:108–12.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Bousnina S, Zendah I, Marniche K, et al. Solitary plasmocytoma of the rib: a rare tumor not to miss. Rev Pneumol Clin. 2006;62:243–6.

    Article  CAS  PubMed  Google Scholar 

  36. Yoshida N, Miyanari N, Yamamoto Y, Egami H. Successful treatment of malignant fibrous histiocytoma originating in the chest wall: report of a case. Surg Today. 2006;36:714–21.

    Article  PubMed  Google Scholar 

  37. Hazard HW, Gorla SR, Scholtens D, Kiel K, Gradishar WJ, Khan SA. Surgical resection of the primary tumor, chest wall control, and survival in women with metastatic breast cancer. Cancer. 2008;113:2011–9.

    Article  PubMed  Google Scholar 

  38. Shoji T, Sonobe M, Okubo K, Wada H, Bando T, Date H. Giant primary liposarcoma of the chest. Gen Thorac Cardiovasc Surg. 2009;57:159–61.

    Article  PubMed  Google Scholar 

  39. Styring E, Fernebro J, Jonsson PE, et al. Changing clinical presentation of angiosarcomas after breast cancer: from late tumors in edematous arms to earlier tumors on the thoracic wall. Breast Cancer Res Treat. 2010;122:883–7.

    Article  PubMed  Google Scholar 

  40. Schwarz RE, Burt M. Radiation-associated malignant tumors of the chest wall. Ann Surg Oncol. 1996;3:387–92.

    Article  CAS  PubMed  Google Scholar 

  41. Haraguchi S, Hioki M, Takushima M, Yanagimoto K, Koizumi K, Shimizu K. Metastatic chest wall tumor suspected to be of lung origin by immunoreactivity for cytokeratin 7 and 20. Jpn J Thorac Cardiovasc Surg. 2006;54:132–6.

    Article  PubMed  Google Scholar 

  42. La Quaglia MP. Chest wall tumors in child hood and adolescence. Semin Pediatr Surg. 2008;17:173–80.

    Article  PubMed  Google Scholar 

  43. Wyttenbach R, Vock P, Tschappeler H. Cross-sectional imaging with CT and/or MRI of pediatric chest tumors. Eur Radiol. 1998;8:1040–6.

    Article  CAS  PubMed  Google Scholar 

  44. van den Berg H, van Rijn RR, Merks JHM. Management of tumors of the chest wall in childhood: a review. J Pediatr Hematol Oncol. 2008;30:214–21.

    Article  PubMed  Google Scholar 

  45. Ryan MB, McMurtrey MJ, Roth JA. Current management of chest-wall tumors. Surg Clin North Am. 1989;69:1061–80.

    Article  CAS  PubMed  Google Scholar 

  46. King RM, Pairolero PC, Trastek VF, Piehler JM, Payne WS, Bernatz PE. Primary chest wall tumors: factors affecting survival. Ann Thorac Surg. 1986;41:597–601.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Section of General Thoracic Surgery, Department of Surgery, UC Davis Medical Center, Sacramento, CA, USA

    Sabrina A. Oldfield M.D. & Elizabeth A. David M.D., F.A.C.S.

  2. Heart Lung Vascular Center, David Grant Medical Center, Travis AFB, Sacramento, CA, USA

    Elizabeth A. David M.D., F.A.C.S.

Authors
  1. Sabrina A. Oldfield M.D.
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  2. Elizabeth A. David M.D., F.A.C.S.
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Corresponding author

Correspondence to Elizabeth A. David M.D., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of California Davis, Sacramento, California, USA

    Gary W. Raff

  2. Division of Pediatric General, Thoracic, and Fetal Surgery, UC Davis Medical Center Shriners Hospitals for Children—Northern California, Sacramento, California, USA

    Shinjiro Hirose

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Oldfield, S.A., David, E.A. (2017). Chest Wall Tumors. In: Raff, G., Hirose, S. (eds) Surgery for Chest Wall Deformities. Springer, Cham. https://doi.org/10.1007/978-3-319-43926-6_8

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  • DOI: https://doi.org/10.1007/978-3-319-43926-6_8

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