outcome after surgical resections of recurrent chest wall sarcomas n.
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Outcome after Surgical Resections of (recurrent) Chest Wall Sarcomas. Is it worthwhile?. Michael Wouters Bert van Geel Lotte Nieuwenhuis Harm van Tinteren Cees Verhoef Houke Klomp Frits van Coevorden. Resections for Chest Wall Sarcoma Background. Sarcomas

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outcome after surgical resections of recurrent chest wall sarcomas

Outcome after Surgical Resectionsof(recurrent) Chest Wall Sarcomas

Is it worthwhile?

Michael Wouters

Bert van Geel

Lotte Nieuwenhuis

Harm van Tinteren

Cees Verhoef

Houke Klomp

Frits van Coevorden

resections for chest wall sarcoma background
Resections for Chest Wall SarcomaBackground

Sarcomas

  • 1 % of all malignancies in adults
  • 10-15% arise in the chest wall
  • best controlled bywide (full-thickness) chest wall resections
  • neo-(adjuvant) radio- or chemotherapy
resections for chest wall sarcoma objective
Resections for Chest Wall sarcomaObjective

To evaluate:

- morbidity, mortality and (disease-free) survival

- outcome for primary and recurrent sarcomas of the chest wall

resections for chest wall sarcoma methods
Resections for Chest Wall sarcomaMethods
  • retrospective study
  • 2 tertiary referral centers in the Netherlands
  • 1980 – 2006
  • any sarcoma involving:
    • Ribs
    • Sternum
    • Costo-vertebral junction
    • Vertebral body
  • full-thickness Chest Wall resection
resection of chest wall sarcoma patients
Resection of Chest Wall sarcomaPatients

median follow-up time: 74 months

resections for chest wall sarcoma discussion
Resections for Chest Wall SarcomaDiscussion
  • Primary and Recurrent Chest Wall sarcomas have different recurrence patterns.
  • This selection of locally recurrent Chest Wall sarcomas has less tendency to metastasize.
resections for chest wall sarcoma conclusions
Resections for Chest Wall SarcomaConclusions
  • Safe and effective procedure, even in locally recurrent sarcomas
  • 5-year survival after resection of recurrent chest wall sarcomas

is ‘worthwhile’!

  • Recurrent chest wall sarcomas should be resected if technically possible.