Deng Shuping,Zeng Yupei,Yuan Cuixia,et al.Diagnosis and treatment of chest wall tumors in children: A Single Center Surgical Experience[J].Journal of Clinical Pediatric Surgery,,21():220-224.[doi:10.3760/cma.j.cn101785-202202011-004]
Diagnosis and treatment of chest wall tumors in children: A Single Center Surgical Experience
- Keywords:
- Thoracic Neoplasms/DI; Thoracic Neoplasms/TH; Thoracic Neoplasms/SU; Treatment Outcome; Child
- Abstract:
- Objective To summarize the experience of diagnosis and surgical treatment of chest wall tumor (CWT) in children and to explore its therapeutic strategies.Methods The clinical data of 127 children (83 males, 44 females) with CWT from January 2011 to December 2021 were analyzed retrospectively.Patients’ median age was 45.62±19.13 months, and average weight was 16.71±8.58 kg.All patients received surgical resection and were followed up regularly after operation.Results There were 126 cases of primary tumors and 1 case of metastatic tumor in the chest wall.Partial tumor resection/biopsy was performed in 5 cases, extended tumor resection in 1 case, and tumor resection in other 121 cases.The operation time was 12-167 min and the intraoperative blood loss was 1-500 mL.Pathological examination showed 115 cases of benign tumors (90.6%), 3 cases of borderline tumors (2.4%), and 9(7.0%) cases of malignant tumors (7%).Eight children with malignant tumors were treated with chemotherapy and/or radiotherapy and targeted drugs.No death occurred during the operation.6 patients dropped out and 121 children were followed up (4.92±2.17) years.3 children with malignant tumors died of distant metastasis, while the rest survived.There were 6 cases undergoing reoperation for local recurrence.Conclusion CWTs in children are hardly seen, but most of which are benign tumors, and have satisfactory surgical results Malignant CWTs in children are rare with poor prognosis.It is necessary to develop a new method for evaluating, diagnosing and treating malignant CWT in children.
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Memo
收稿日期:2022-02-05。
基金项目:重庆市医学科研项目（2016ZDXM013）
通讯作者:李勇刚,Email:yulyg@sina.com