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目的探讨原发恶性肿瘤根治术后发生远期胸壁转移瘤的外科治疗方法及其疗效。方法对17例(男12例,女5例)原发恶性肿瘤根治6～124个月后发生的远期胸壁单发转移瘤施行根治性手术切除,其中原发肺癌5例,原发乳腺癌8例,原发筛窦癌1例,原发前列腺癌2例,原发甲状腺癌1例。结果 17例胸壁转移瘤患者均获得完整手术切除,所有患者未出现术后并发症,术后随访0.5、1、2及5年,局部无复发病例。结论根治性手术切除治疗胸壁单发肋骨转移瘤疗效确切。
Objective To investigate the surgical treatment of long-term chest wall metastases after radical resection of primary malignant tumors and its curative effect. Methods Radical resection of long-term solitary chest wall solitary metastasis occurred in 17 patients (12 males and 5 females) with primary malignant tumors 6 to 124 months after radical resection. Among them, 5 were primary lung cancer, primary breast cancer 8 cases, 1 case of primary ethmoid sinus cancer, 2 cases of primary prostate cancer, 1 case of primary thyroid cancer. Results All the 17 patients with chest wall metastases had complete surgical resection, and no postoperative complications occurred in all patients. The patients were followed up for 0.5, 1, 2 and 5 years without any local recurrence. Conclusions The curative effect of radical surgical resection on single chest rib metastasis of the chest wall is definite.