title: [Surgical treatment of primary chest wall tumor].
abstract: BACKGROUND
  Primary chest wall tumors are uncommon and there is limited information in the literature regarding treatment strategies for these tumors.
  
  
  METHODS
  We retrospectively reviewed 14 patients who were referred for surgical resection for a primary chest wall tumor.
  
  
  RESULTS
  Except for neurogenic tumors, 14 primary chest wall tumors were resected among 3,260 surgical cases during a 13-year period in our institution. Complete resection was attempted for all 14 patients;8 had benign tumors and 6 had malignant tumors. Tumor pathology was extremely varied as they arose from all anatomic structures of the chest wall. Chest wall reconstruction was performed for 7 patients;2 patients underwent an additional extended resection because their tumors were diagnosed as malignant during or after surgery;and only 1 patient with a primitive neuroectodermal tumor died of recurrence after surgery.
  
  
  CONCLUSIONS
  The data and results for primary chest tumors are limited due to the uncommon nature of this entity and the extremely variable histology. In general, a preoperative diagnosis is difficult and a definitive diagnosis can only be made during or after surgery. Wide radical resection of these tumors should be attempted, particularly if malignancy is diagnosed.
authors.affiliation: Department of General Thoracic Surgery, Chiba University School of Medicine, Chiba, Japan.
authors.forename: Hidemi
authors.initials: H
authors.lastname: Suzuki
authors.forename: Takamasa
authors.initials: T
authors.lastname: Yun
authors.forename: Junichi
authors.initials: J
authors.lastname: Morimoto
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nakajima
authors.forename: Tetsuzo
authors.initials: T
authors.lastname: Tagawa
authors.forename: Takekazu
authors.initials: T
authors.lastname: Iwata
authors.forename: Teruaki
authors.initials: T
authors.lastname: Mizobuchi
authors.forename: Shigetoshi
authors.initials: S
authors.lastname: Yosida
authors.forename: Yukio
authors.initials: Y
authors.lastname: Nakatani
authors.forename: Ichiro
authors.initials: I
authors.lastname: Yoshino
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012512:Sarcoma, Ewing / Q000601:surgery; D013899:Thoracic Neoplasms / Q000601:surgery*; D035441:Thoracic Wall