摘要
本文分析67例原发性胸壁肿瘤,良性47例,恶性20例。软组织肿瘤27例,骨骼肿瘤40例。重点讨论胸壁肿瘤的定位诊断和鉴别诊断,提出恶性者平均病程明显短,胸痛和局部外突肿块恶性显然多于良性,且多为剧烈胸痛。X 线胸片良性表现为局限软组织密度增高影或骨骼局限膨胀性病变;而恶性者多为溶骨性缺损改变,常侵袭邻近骨骼等。关于手术治疗,良性肿瘤多行局部切除,但如病变已累承骨骼甚至邻近组织,则应行大块切除。恶性肿瘤均应行大块切除,并注意修复胸壁之完整性。
Sixty-seven patients with primary chest wall tumors were reviewed.47 patientshad primary benign tumors and 20 had malignant neoplasms.27 tumors involved thesoft tissues and 40 involved the bony thorax.The mainstay of this discussion wascentered on the diagnosis of location and differentiation.It was noticed that themean duration of occurance of malignant tumors was much shorter than the benignones.Chest-pain and local protruding mass were much more severe and prominent inthe malignant neoplasms.Chest radiological appearances of benign tumors were thoseof increasing density of local soft tissue or local expansile bone lesions.But osteo-lytic destruction of the bony thorax and adjacent bony extention were usually seenin the malignant tumors.As to the operative treatment,local resection was indicatedfor benign tumors,if the bone or even the adjacent tissue has already been affected,then resection of the lesion en bloc was necessary.All malignant tumors of the chestwall should be resected en bloc and following resection attention should then bedirected to the restoration of the chest wall.
出处
《天津医药》
CAS
1989年第3期164-167,共4页
Tianjin Medical Journal
