title: [Surgical challenges of chest wall and intra-thoracic desmoid tumors].
abstract: Chest wall desmoids are rare, borderline tumors. Radical surgical excision is considered to be the primary treatment. Tendency of desmoids to infiltrate the chest wall, the shoulder girdle, lung parenchyma, brachial plexus and vital components of the mediastinum provides a difficult surgical challenge in the efforts of achieving microscopically negative margins. Implantation of synthetic meshes and reconstructive plastic surgical techniques might be necessary to perform in order to preserve stability of the thorax, and to achieve optimal functional and aesthetic results. Multidisciplinary surgeries may result in a high rate of morbidity even in specialized centers. Within the framework of a retrospective multicenter review, authors assessed surgical techniques implemented in the case of patients who underwent surgical management for sporadically appearing chest-wall and intra-thoracic desmoids, and reviewed the relevant literature.
authors.affiliation: Országos Onkológiai Intézet Általános és Mellkassebészeti Osztály, Ráth György u. 7-9, Budapest. matraidok@freemail.hu
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Mátrai
authors.forename: László
authors.initials: L
authors.lastname: Tóth
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Szentirmay
authors.forename: János
authors.initials: J
authors.lastname: Papp
authors.forename: Imre
authors.initials: I
authors.lastname: Antal
authors.forename: Pál
authors.initials: P
authors.lastname: Vadász
authors.forename: Alexandra
authors.initials: A
authors.lastname: Bartal
authors.forename: Miklós
authors.initials: M
authors.lastname: Kásler
mesh_terms: D000328:Adult; D000368:Aged; D002648:Child; D002916:Chylothorax / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D018222:Desmoid Tumors / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011014:Pneumonia / Q000209:etiology; D019651:Plastic Surgery Procedures / Q000379:methods; D012086:Reoperation; D012189:Retrospective Studies; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000209:etiology; D013899:Thoracic Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D035441:Thoracic Wall / Q000473:pathology / Q000601:surgery*; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000209:etiology