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我科自1976～1987年收治原发性胸壁肿瘤20例,其中19例进行了手术。本文总结该组病例手术治疗的初步体会,并着重对手术切除范围进行讨论。临床资料一般资料:本组男性11例,女性8例;年龄12～60岁,平均29岁。良性肿瘸16例中,骨软骨瘤4例,软骨瘤、骨纤维结构不良各3例,动脉瘤样骨囊肿、骨巨细胞瘤各2例,神经纤维瘤、神经纤维鞘瘤各1例;恶性肿瘤3例中,骨肉瘤、骨软骨肉瘤、横纹肌肉瘤各1例。症状和体征:本组19例胸壁肿瘤均有疼痛或局部肿块。良性胸壁肿瘤疼痛一般为钝痛、刺痛或隐痛。3例恶性肿瘤疼痛较重,需服镇
In our department, 20 cases of primary chest wall tumors were treated from 1976 to 1987, 19 of them underwent surgery. This article summarizes the preliminary experience of surgical treatment in this group of patients and focuses on the scope of surgical resection. Clinical data General information: The group of 11 males and 8 females; aged 12 to 60 years, an average of 29 years old. Of the 16 cases with benign swelling, 4 cases were osteochondroma, 3 cases were chondroma, 3 cases were poor bone fibers, 2 cases were aneurysmal bone cysts, 2 cases were giant cell tumors of bone, 1 case was neurofibromas and 1 case of nerve fiber schwannoma. Of the 3 cases of malignant tumors, 1 was osteosarcoma, osteochondroma, and rhabdomyosarcoma. Symptoms and signs: In this group of 19 cases of chest wall tumors have pain or local mass. Benign chest wall tumor pain is generally dull, stinging or hidden pain. 3 cases of malignant tumors were heavier and required township services