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Peter C. Pairolero
Victor F. Trastek
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Philip E. Bernatz
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Ann Thorac Surg 1986;41:597-601
© 1986 The Society of Thoracic Surgeons

Articles

Primary Chest Wall Tumors: Factors Affecting Survival

R. Michael King, M.D., Peter C. Pairolero, M.D.*, Victor F. Trastek, M.D., Jeffrey M. Piehler, M.D., W. Spencer Payne, M.D., Philip E. Bernatz, M.D.

Section of Thoracic and Cardiovascular Surgery, Department of Surgery, Mayo Clinic and Mayo Foundation, Rochester, MN

* Address reprint requests to Dr. Pairolero, 200 First St SW, Rochester, MN 55905

Between 1955 and 1975, chest wall resection was done in 90 patients for primary chest wall tumors. Ages ranged from 8 to 96 years (mean, 44.3 years). A painful mass was the most common sign and symptom. Eighty-two tumors (91.1%) were located in the lateral chest wall and eight, in the anterior thorax. The tumor was malignant in 71 patients (78.9%) and benign in 19. All patients with benign tumors had complete excision and are currently free from disease. Malignant fibrous histiocytoma, chondrosarcoma, and rhabdomyosarcoma constituted 62% of the malignant neoplasms. Most malignancies were treated by wide resection. There were no thirty-day operative deaths. Overall 1-, 5-, and 10-year survival was 89%, 57%, and 49%, respectively. Recurrent tumor developed in 37 patients (52%); 5-year survival, however, was only 17% after recurrence. Cell type and extent of invasion significantly influenced survival. Both chondrosarcoma and rhabdomyosarcoma had a better prognosis than malignant fibrous histiocytoma (p < 0.05). We conclude that early resection is the treatment of choice for primary malignant chest wall tumors and that development of recurrent disease is an ominous event.




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