Ahmet BAŞOĞLU, Sedat DEMİRCAN, BURÇİN ÇELİK, Ali Osman AKDAĞ, Ayşen Taslak ŞENGÜL

Göğüs duvarı tümörlerinde cerrahi tedavi deneyimlerimiz

Amaç göğüs duvarı tümörlerinin klinik özelliklerini, patolojilerini ve cerrahi tedavilerini ve deneyimlerimizi sunarak tartışmaktır. Eylül 1998 - Eylül 2002 arasında göğüs duvarı tümörü nedeniyle ameliyat edilen 15 hasta retrospektif olarak değerlendirildi. Hastaların 8'i erkek ve 7'si kadın olup yaş aralığı 15-69, yaş ortalaması 45±4.8 idi. Onbeş hastaya 20 ameliyat uygulandı. Olguların 12'si malign, 3'ü benign karakterliydi. Hastaların 2'sine total sternum rezeksiyonu, 3'üne yumuşak doku rezeksizyonu, 10'una kot rezeksiyonu uygulandı. Sekiz hastada rekonstrüksiyon gerekti. Yedi olguya adjuvan kemoterapi ve radyoterapi uygulandı.Göğüs duvarı tümörlerinin tedavisi cerrahi rezeksiyon ile başarıyla sağlanabilir. Göğüs duvarındaki defektler çeşitli rekonstrüksiyon materyalleri ile onarılabilir.

Anahtar Kelimeler:

Gögüs neoplazileri, Cerrahi işlemler, operatif, Geriyedönük çalışma, Rekonstrüktif cerrahi işlemler

Thoracic wall tumors: Our surgical treatment experience

The aim of the study is to discuss clinical features, the pathology, our experience and surgical approaches of the chest wall tumors. The patients who had been operated on chest wall tumors in our department between September 1998 - September 2002 were evaluated retrospectively. The number of patient was 15, eight male and seven female, the range of age was 15-69, meanly 45±4.8 years. Twenty surgical approaches were performed on 15 patients. The chest wall tumors were benign in 3 cases and malignant in 12 cases. Resection of sternum for 2 patients, soft tissue resections for 3 patients and chest wall resections for 10 patients were performed. Reconstructive approach was needed for 8 patients. Adjuvan therapy was applied for 7 patients. Treatment of the chest wall tumors can be provided successfully with surgical resection. The defects of the chest wall can be repaired by different reconstruction materials.

Keywords:

Thoracic Neoplasms, Surgical Procedures, Operative, Retrospective Studies, Reconstructive Surgical Procedures,

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