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Surgical treatment of primary chest wall sarcomas: experiences in 19 cases

Mahdi Abdennadher, Aymen Ben Ayed, Amina Abdelkbir, Hazem Zribi, Sarra Zairi, Imen Bouassida, Mouna Mlika, Imen Sahnoun, Sonia Ouerghi, Adel Marghli
European Respiratory Journal 2020 56: 3131; DOI: 10.1183/13993003.congress-2020.3131
Mahdi Abdennadher
1thoracic surgery department of Abderrahmen Mami Hospital Ariana – Tunisia., Ariana, Tunisia
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  • For correspondence: abdennadhermahdi@gmail.com
Aymen Ben Ayed
1thoracic surgery department of Abderrahmen Mami Hospital Ariana – Tunisia., Ariana, Tunisia
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Amina Abdelkbir
1thoracic surgery department of Abderrahmen Mami Hospital Ariana – Tunisia., Ariana, Tunisia
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Hazem Zribi
1thoracic surgery department of Abderrahmen Mami Hospital Ariana – Tunisia., Ariana, Tunisia
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Sarra Zairi
1thoracic surgery department of Abderrahmen Mami Hospital Ariana – Tunisia., Ariana, Tunisia
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Imen Bouassida
1thoracic surgery department of Abderrahmen Mami Hospital Ariana – Tunisia., Ariana, Tunisia
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Mouna Mlika
2Anatomopathology department of AbderrahmenMami Hospital Ariana–Tunisia, Ariana, Tunisia
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Imen Sahnoun
3Pneumology department of AbderrahmenMami Hospital Ariana–Tunisia, Ariana, Tunisia
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Sonia Ouerghi
4Anesthesiology department of AbderrahmenMami Hospital Ariana–Tunisia, Ariana, Tunisia
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Adel Marghli
1thoracic surgery department of Abderrahmen Mami Hospital Ariana – Tunisia., Ariana, Tunisia
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Abstract

Introduction: Chest wall sarcomas are rare and agressive with late discovery. It rises many challenges for the confirmation of the primitive character and for the therapeutic strategy. The prognosis depends on surgical resection and histological type.Our aim was to clarify the outcomes of patients managed surgically.

Methods: We retrospectively reviewed the clinical data from patients who were operated for chest wall sarcomas within 16 years at the thoracic surgery department of AbderrahmenMami Hospital Ariana–Tunisia.

Results: Nineteen patients underwent resection of chest wall sarcomas. The median size of the tumor was 77.4 mm (17 to 150 mm). Eight patients received neoadjuvant chemotherapy. Elective approach was used in 14 cases. The involved rib was resected in 17 cases (1 to 4 ribs). Rib resection was extended to the diaphragm in 5 cases, the involved lung in 6 cases and the sternum in 2 cases. The chest wall defect was covered by muscular flap in 7 cases. Definitive pathological study confirmed the primitive character of sarcomas and revealed: Ewing sarcoma (6 cases), leiomyosarcoma (5 cases), synovial sarcoma (3 cases), pleomorphic sarcoma (1 case), phyllode sarcoma (1 case), chondrosarcoma (1 case),rhabdomyosarcoma(1 case) and liposarcoma(1 case).The postoperative course was complicated in 2 cases. Negative margin resection was achieved in 17 cases.Four patients received adjuvant chemotherapy.With a median follow-up of 12 months (1 – 36 months),tumor progression was observed in 4 patients

Conclusion: Treatment decision for primary chest wall sarcomas should be taken in a multidisciplinary meeting. Surgical resection is associated with a good long-term outcomes. Adjuvant treatment remains a controversial issue

  • Neoplastic diseases

Footnotes

Cite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 3131.

This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2020
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Surgical treatment of primary chest wall sarcomas: experiences in 19 cases
Mahdi Abdennadher, Aymen Ben Ayed, Amina Abdelkbir, Hazem Zribi, Sarra Zairi, Imen Bouassida, Mouna Mlika, Imen Sahnoun, Sonia Ouerghi, Adel Marghli
European Respiratory Journal Sep 2020, 56 (suppl 64) 3131; DOI: 10.1183/13993003.congress-2020.3131

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Surgical treatment of primary chest wall sarcomas: experiences in 19 cases
Mahdi Abdennadher, Aymen Ben Ayed, Amina Abdelkbir, Hazem Zribi, Sarra Zairi, Imen Bouassida, Mouna Mlika, Imen Sahnoun, Sonia Ouerghi, Adel Marghli
European Respiratory Journal Sep 2020, 56 (suppl 64) 3131; DOI: 10.1183/13993003.congress-2020.3131
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