Tumores da Parede Torácica: Uma Análise Retrospectiva
Chest Wall Tumors: Retrospective Analysis
Keywords:
Chest wall tumors. Histological types. Chest wall reconstruction.Abstract
Objectives: To evaluate retrospectively the characteristics of the patients and the surgical approach performed in patients who were submitted to a chest wall tumor treatment by a surgery service in the state of Amazonas during the period from January 2008 to March 2017. Methodology: This is a retrospective study about the prevalence of chest wall tumors and the profile of patients including clinical and epidemiological characteristics, complications, mortality and prognosis. We evaluated the most common histological types of these tumors and the main surgical procedures performed, just as the reconstruction of the chest wall using the medical records, whence the data of these patients were collected, followed up by the same surgical team, working in three hospitals in the city of Manaus (Getúlio Vargas University Hospital, UNIMED Hospital and Beneficente Português Hospital), during January 2008 to March 2017. The data were submitted to descriptive statistical analyses using the test of probability of significance. Results: Thirty patients were included in this study, among them 16 (53.3%) were female and 14 (46.7%) were male. The average age was 46.7 years. Twenty-three (76.7%) cases were considered benign and seven (23.3%) were malignant. The most common histological type was lipoma (15 cases - 50%), followed by breast cancer metastasis (3 - 10%). The most frequent treatment was thoracotomy with chest wall reconstruction without prosthesis (27 - 90%). In cases where prosthesis was used (3 - 10%) it were chosen titanium plates, STRATOSTM and polypropylene mesh in two (6.7%) and only the polypropylene mesh in one (3.3%). There were complications in four (13.3%) cases and relapse in three (10%). Among all cases, there were two deaths, which was equivalent to 6.6% of the sample, corresponding to the diagnosis of high-grade carcinoma with neuroendocrine differentiation and a high-grade liposarcoma. Conclusion: Despite new techniques and technologies have been included in the chest wall tumors treatment, mortality remains high in cases of invasive malignant tumors.
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