Wang, Lei and Yan, Xiaolong and Zhao, Jinbo and Chen, Chang and Chen, Chun and Chen, Jun and Chen, Ke-Neng and Cao, Tiesheng and Chen, Ming-Wu and Duan, Hongbin and Fan, Junqiang and Fu, Junke and Gao, Shugeng and Guo, Hui and Guo, Shiping and Guo, Wei and Han, Yongtao and Jiang, Ge-Ning and Jiang, Hongjing and Jiao, Wen-Jie and Kang, Mingqiang and Leng, Xuefeng and Li, He-Cheng and Li, Jing and Li, Jian and Li, Shao-Min and Li, Shuben and Li, Zhigang and Li, Zhongcheng and Liang, Chaoyang and Mao, Nai-Quan and Mei, Hong and Sun, Daqiang and Wang, Dong and Wang, Luming and Wang, Qun and Wang, Shumin and Wang, Tianhu and Liu, Lunxu and Xiao, Gaoming and Xu, Shidong and Yang, Jinliang and Ye, Ting and Zhang, Guangjian and Zhang, Linyou and Zhao, Guofang and Zhao, Jun and Zhong, Wen-Zhao and Zhu, Yuming and Hulsewe, Karel W. E. and Vissers, Yvonne L. J. and de Loos, Erik R. and Jeong, Jin Yong and Marulli, Giuseppe and Sandri, Alberto and Sziklavari, Zsolt and Vannucci, Jacopo and Ampollini, Luca and Ueda, Yuichiro and Liu, Chaozong and Bille, Andrea and Hamaji, Masatsugu and Aramini, Beatrice and Inci, Ilhan and Pompili, Cecilia and Van Veer, Hans and Fiorelli, Alfonso and Sara, Ricciardi and Sarkaria, Inderpal S. and Davoli, Fabio and Kuroda, Hiroaki and Bolukbas, Servet and Li, Xiao-Fei and Huang, Lijun and Jiang, Tao (2021) Expert consensus on resection of chest wall tumors and chest wall reconstruction. TRANSLATIONAL LUNG CANCER RESEARCH, 10 (11). pp. 4057-4083. ISSN 2218-6751, 2226-4477
Full text not available from this repository. (Request a copy)Abstract
Chest wall tumors are a relatively uncommon disease in clinical practice. Most of the published studies about chest wall tumors are usually single-center retrospective studies, involving few patients. Therefore, evidences regarding clinical conclusions about chest wall tumors are lacking, and some controversial issues have still to be agreed upon. In January 2019, 73 experts in thoracic surgery, plastic surgery, science, and engineering jointly released the Chinese Expert Consensus on Chest Wall Tumor Resection and Chest Wall Reconstruction (2018 edition). After that, numerous experts put forward new perspectives on some academic issues in this version of the consensus, pointing out the necessity to further discuss the points of contention. Thus, we conducted a survey through the administration of a questionnaire among 85 experts in the world. Consensus has been reached on some major points as follows. (I) Wide excision should be performed for desmoid tumor (DT) of chest wall. After excluding the distant metastasis by multi-disciplinary team, solitary sternal plasmacytoma can be treated with extensive resection and adjuvant radiotherapy. (II) Wide excision with above 2 cm margin distance should be attempted to obtain R0 resection margin for chest wall tumor unless the tumor involves vital organs or structures, including the great vessels, heart, trachea, joints, and spine. (III) For patients with chest wall tumors undergoing unplanned excision (UE) for the first time, it is necessary to carry out wide excision as soon as possible within 1-3 months following the previous surgery. (IV) Current Tumor Node Metastasis staging criteria (American Joint Committee on Cancer) of bone tumor and soft tissue sarcoma are not suitable for chest wall sarcomas. (V) It is necessary to use rigid implants for chest wall reconstruction once the maximum diameter of the chest wall defect exceeds 5 cm in adults and adolescents. (VI) For non-small cell lung cancer (NSCLC) invading the chest wall, wide excision with neoadjuvant and/or adjuvant therapy are recommended for patients with stage T3-4N0-1M0. As clear guidelines are lacking, these consensus statements on controversial issues on chest wall tumors and resection could possibly serve as further guidance in clinical practice during the upcoming years.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SOFT-TISSUE SARCOMA; DESMOID TUMORS; SOLITARY PLASMACYTOMA; SURGICAL-TREATMENT; RECURRENCE PATTERNS; UNPLANNED EXCISION; PROGNOSTIC-FACTORS; TITANIUM PLATES; RE-EXCISION; ANTERIOR; Chest wall tumor; excision margin; radiotherapy; chest wall reconstruction |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Thoraxchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 04 Oct 2022 12:11 |
| Last Modified: | 04 Oct 2022 12:11 |
| URI: | https://pred.uni-regensburg.de/id/eprint/48238 |
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