The role of imaging for the surgeon in primary malignant bone tumors of the chest wall
| Autor: | Antonio Briccoli, Maria Cristina Salone, S. Galletti, Alba Balladelli, Michele Rocca, D. Vanel |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Diagnostic Imaging
medicine.medical_specialty Rib cage medicine.diagnostic_test business.industry Bone Neoplasms Anatomic Site General Medicine Thoracic Neoplasms medicine.disease Surgery Preoperative staging Primary bone Surgery Computer-Assisted Preoperative Care Biopsy medicine Positive Margins Humans Osteosarcoma Radiology Nuclear Medicine and imaging Radiology Chondrosarcoma business |
| Zdroj: | European Journal of Radiology. 82:2070-2075 |
| ISSN: | 0720-048X |
| DOI: | 10.1016/j.ejrad.2011.11.029 |
| Popis: | Primary malignant chest wall tumors are rare. The most frequent primary malignant tumor of the chest wall is chondrosarcoma, less common are primary bone tumors belonging to the Ewing Family Bone Tumors (EFBT), or even rarer are osteosarcomas. They represent a challenging clinical entities for surgeons as the treatment of choice for these neoplasms is surgical resection, excluding EFBT which are normally treated by a multidisciplinary approach. Positive margins after surgical procedure are the principal risk factor of local recurrence, therefore to perform adequate surgery a correct preoperative staging is mandatory. Imaging techniques are used for diagnosis, to determine anatomic site and extension, to perform a guided biopsy, for local and general staging, to evaluate chemotherapy response, to detect the presence of a recurrence. This article will focus on the role of imaging in guiding this often difficult surgery and the different technical possibilities adopted in our department to restore the mechanics of the thoracic cage after wide resections. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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