Abstract
The major malignant tumors found on the chest wall are sarcomas, including osteosarcomas, chondrosarcomas, fibrosarcomas, and hemangiosarcomas. Treatment of cancer, as well as chronic chest wall conditions, require radical surgical excision of the involved tissues. In addition to surgery, chemotherapy plays a role as adjuvant treatment in tumors affecting the chest wall, reducing chances of metastasis and prolonging the disease. The restoration of the chest wall has the main objective to restore the respiratory function, for this, a procedure is necessary that keeps the chest closed and stable. There are many materials used for chest repair, such as autogenous, synthetic, homologous and heterologous tissues. The main objective of this literature review is to address the main malignancies that affect the chest wall, as well as the resources most used to repair the damage caused by aggressive surgery in an attempt to promote greater safety margins.
Highlights
The treatment of neoplasms and chronic infections of the thoracic wall requires radical surgical excision of the involved tissues (Brasmer, 1971)
The malignant tumors found in the thoracic wall are the sarcomas (Rivoire et al, 1994), among them the osteosarcomas, chondrosarcomas, fibrosarcomas and hemangiosarcomas (Orton, 1998)
According to Doige and Weisbrode (1998), and Fossum (2008), the osteosarcoma is the neoplasm that most affects the thoracic wall, but the chondrosarcoma constitutes the most common primary neoplasm affecting the ribs of dogs (Daleck, Fonseca, & Canola, 2002)
Summary
The treatment of neoplasms and chronic infections of the thoracic wall requires radical surgical excision of the involved tissues (Brasmer, 1971). According to Doige and Weisbrode (1998), and Fossum (2008), the osteosarcoma is the neoplasm that most affects the thoracic wall, but the chondrosarcoma constitutes the most common primary neoplasm affecting the ribs of dogs (Daleck, Fonseca, & Canola, 2002). It is necessary to investigate the possibility of metastases as part of the initial evaluation of oncologic patients (Morris & Dobson, 2007). An objective approach by means of physical, hematological, imaging exams and cytological and histopathological evaluation enables assessing primary tumors, local lymph nodes and distant metastases (Morris & Dobson, 2007). Radiographic exams are the most common technique used in veterinary oncology, the main indication for research on lung and bone neoplasm, since they help to determine the staging of the oncologic patient as well as to evaluate the therapy (Rodaski & Pierkarz, 2009; Lattimer & Haub, 2010). The main objective of thoracic stability is to allow for suitable ventilation in the postoperative period as soon as possible (Aguiar, 2001)
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