Expert consensus on resection of chest wall tumors and chest wall reconstruction
Chest wall tumors are a relatively uncommon disease in clinical practice. Most of the published studies about chest wall tumors are usually single-center retrospective studies, involving few patients. Therefore, evidences regarding clinical conclusions about chest wall tumors are lacking, and some c...
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| Veröffentlicht in: | Translational lung cancer research 2021-11, Vol.10 (11), p.4057-4083 |
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| creator | Wang, Lei Yan, Xiaolong Zhao, Jinbo Chen, Chang Chen, Chun Chen, Jun Chen, Ke-Neng Cao, Tiesheng Chen, Ming-Wu Duan, Hongbin Fan, Junqiang Fu, Junke Gao, Shugeng Guo, Hui Guo, Shiping Guo, Wei Han, Yongtao Jiang, Ge-Ning Jiang, Hongjing Jiao, Wen-Jie Kang, Mingqiang Leng, Xuefeng Li, He-Cheng Li, Jing Li, Jian Li, Shao-Min Li, Shuben Li, Zhigang Li, Zhongcheng Liang, Chaoyang Mao, Nai-Quan Mei, Hong Sun, Daqiang Wang, Dong Wang, Luming Wang, Qun Wang, Shumin Wang, Tianhu Liu, Lunxu Xiao, Gaoming Xu, Shidong Yang, Jinliang Ye, Ting Zhang, Guangjian Zhang, Linyou Zhao, Guofang Zhao, Jun Zhong, Wen-Zhao Zhu, Yuming Hulsewé, Karel W E Vissers, Yvonne L J de Loos, Erik R Jeong, Jin Yong Marulli, Giuseppe Sandri, Alberto Sziklavari, Zsolt Vannucci, Jacopo Ampollini, Luca Ueda, Yuichiro Liu, Chaozong Bille, Andrea Hamaji, Masatsugu Aramini, Beatrice Inci, Ilhan Pompili, Cecilia Van Veer, Hans Fiorelli, Alfonso Sara, Ricciardi Sarkaria, Inderpal S Davoli, Fabio Kuroda, Hiroaki Bölükbas, Servet Li, Xiao-Fei Huang, Lijun Jiang, Tao |
| description | Chest wall tumors are a relatively uncommon disease in clinical practice. Most of the published studies about chest wall tumors are usually single-center retrospective studies, involving few patients. Therefore, evidences regarding clinical conclusions about chest wall tumors are lacking, and some controversial issues have still to be agreed upon. In January 2019, 73 experts in thoracic surgery, plastic surgery, science, and engineering jointly released the Chinese Expert Consensus on Chest Wall Tumor Resection and Chest Wall Reconstruction (2018 edition). After that, numerous experts put forward new perspectives on some academic issues in this version of the consensus, pointing out the necessity to further discuss the points of contention. Thus, we conducted a survey through the administration of a questionnaire among 85 experts in the world. Consensus has been reached on some major points as follows. (I) Wide excision should be performed for desmoid tumor (DT) of chest wall. After excluding the distant metastasis by multi-disciplinary team, solitary sternal plasmacytoma can be treated with extensive resection and adjuvant radiotherapy. (II) Wide excision with above 2 cm margin distance should be attempted to obtain R0 resection margin for chest wall tumor unless the tumor involves vital organs or structures, including the great vessels, heart, trachea, joints, and spine. (III) For patients with chest wall tumors undergoing unplanned excision (UE) for the first time, it is necessary to carry out wide excision as soon as possible within 1-3 months following the previous surgery. (IV) Current Tumor Node Metastasis staging criteria (American Joint Committee on Cancer) of bone tumor and soft tissue sarcoma are not suitable for chest wall sarcomas. (V) It is necessary to use rigid implants for chest wall reconstruction once the maximum diameter of the chest wall defect exceeds 5 cm in adults and adolescents. (VI) For non-small cell lung cancer (NSCLC) invading the chest wall, wide excision with neoadjuvant and/or adjuvant therapy are recommended for patients with stage T
N
M
. As clear guidelines are lacking, these consensus statements on controversial issues on chest wall tumors and resection could possibly serve as further guidance in clinical practice during the upcoming years. |
| doi_str_mv | 10.21037/tlcr-21-935 |
| format | Article |
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Most of the published studies about chest wall tumors are usually single-center retrospective studies, involving few patients. Therefore, evidences regarding clinical conclusions about chest wall tumors are lacking, and some controversial issues have still to be agreed upon. In January 2019, 73 experts in thoracic surgery, plastic surgery, science, and engineering jointly released the Chinese Expert Consensus on Chest Wall Tumor Resection and Chest Wall Reconstruction (2018 edition). After that, numerous experts put forward new perspectives on some academic issues in this version of the consensus, pointing out the necessity to further discuss the points of contention. Thus, we conducted a survey through the administration of a questionnaire among 85 experts in the world. Consensus has been reached on some major points as follows. (I) Wide excision should be performed for desmoid tumor (DT) of chest wall. After excluding the distant metastasis by multi-disciplinary team, solitary sternal plasmacytoma can be treated with extensive resection and adjuvant radiotherapy. (II) Wide excision with above 2 cm margin distance should be attempted to obtain R0 resection margin for chest wall tumor unless the tumor involves vital organs or structures, including the great vessels, heart, trachea, joints, and spine. (III) For patients with chest wall tumors undergoing unplanned excision (UE) for the first time, it is necessary to carry out wide excision as soon as possible within 1-3 months following the previous surgery. (IV) Current Tumor Node Metastasis staging criteria (American Joint Committee on Cancer) of bone tumor and soft tissue sarcoma are not suitable for chest wall sarcomas. (V) It is necessary to use rigid implants for chest wall reconstruction once the maximum diameter of the chest wall defect exceeds 5 cm in adults and adolescents. (VI) For non-small cell lung cancer (NSCLC) invading the chest wall, wide excision with neoadjuvant and/or adjuvant therapy are recommended for patients with stage T
N
M
. As clear guidelines are lacking, these consensus statements on controversial issues on chest wall tumors and resection could possibly serve as further guidance in clinical practice during the upcoming years.</description><identifier>ISSN: 2218-6751</identifier><identifier>EISSN: 2226-4477</identifier><identifier>DOI: 10.21037/tlcr-21-935</identifier><identifier>PMID: 35004239</identifier><language>eng</language><publisher>China: AME Publishing Company</publisher><subject>Consensus</subject><ispartof>Translational lung cancer research, 2021-11, Vol.10 (11), p.4057-4083</ispartof><rights>2021 Translational Lung Cancer Research. All rights reserved.</rights><rights>2021 Translational Lung Cancer Research. All rights reserved. 2021 Translational Lung Cancer Research.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-575211c0730e235e576a1e1cd188c9df1582ec02510eff63fb547e90a56a12f13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8674598/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8674598/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35004239$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Lei</creatorcontrib><creatorcontrib>Yan, Xiaolong</creatorcontrib><creatorcontrib>Zhao, Jinbo</creatorcontrib><creatorcontrib>Chen, Chang</creatorcontrib><creatorcontrib>Chen, Chun</creatorcontrib><creatorcontrib>Chen, Jun</creatorcontrib><creatorcontrib>Chen, Ke-Neng</creatorcontrib><creatorcontrib>Cao, Tiesheng</creatorcontrib><creatorcontrib>Chen, Ming-Wu</creatorcontrib><creatorcontrib>Duan, Hongbin</creatorcontrib><creatorcontrib>Fan, Junqiang</creatorcontrib><creatorcontrib>Fu, Junke</creatorcontrib><creatorcontrib>Gao, Shugeng</creatorcontrib><creatorcontrib>Guo, Hui</creatorcontrib><creatorcontrib>Guo, Shiping</creatorcontrib><creatorcontrib>Guo, Wei</creatorcontrib><creatorcontrib>Han, Yongtao</creatorcontrib><creatorcontrib>Jiang, Ge-Ning</creatorcontrib><creatorcontrib>Jiang, Hongjing</creatorcontrib><creatorcontrib>Jiao, Wen-Jie</creatorcontrib><creatorcontrib>Kang, Mingqiang</creatorcontrib><creatorcontrib>Leng, Xuefeng</creatorcontrib><creatorcontrib>Li, He-Cheng</creatorcontrib><creatorcontrib>Li, Jing</creatorcontrib><creatorcontrib>Li, Jian</creatorcontrib><creatorcontrib>Li, Shao-Min</creatorcontrib><creatorcontrib>Li, Shuben</creatorcontrib><creatorcontrib>Li, Zhigang</creatorcontrib><creatorcontrib>Li, Zhongcheng</creatorcontrib><creatorcontrib>Liang, Chaoyang</creatorcontrib><creatorcontrib>Mao, Nai-Quan</creatorcontrib><creatorcontrib>Mei, Hong</creatorcontrib><creatorcontrib>Sun, Daqiang</creatorcontrib><creatorcontrib>Wang, Dong</creatorcontrib><creatorcontrib>Wang, Luming</creatorcontrib><creatorcontrib>Wang, Qun</creatorcontrib><creatorcontrib>Wang, Shumin</creatorcontrib><creatorcontrib>Wang, Tianhu</creatorcontrib><creatorcontrib>Liu, Lunxu</creatorcontrib><creatorcontrib>Xiao, Gaoming</creatorcontrib><creatorcontrib>Xu, Shidong</creatorcontrib><creatorcontrib>Yang, Jinliang</creatorcontrib><creatorcontrib>Ye, Ting</creatorcontrib><creatorcontrib>Zhang, Guangjian</creatorcontrib><creatorcontrib>Zhang, Linyou</creatorcontrib><creatorcontrib>Zhao, Guofang</creatorcontrib><creatorcontrib>Zhao, Jun</creatorcontrib><creatorcontrib>Zhong, Wen-Zhao</creatorcontrib><creatorcontrib>Zhu, Yuming</creatorcontrib><creatorcontrib>Hulsewé, Karel W E</creatorcontrib><creatorcontrib>Vissers, Yvonne L J</creatorcontrib><creatorcontrib>de Loos, Erik R</creatorcontrib><creatorcontrib>Jeong, Jin Yong</creatorcontrib><creatorcontrib>Marulli, Giuseppe</creatorcontrib><creatorcontrib>Sandri, Alberto</creatorcontrib><creatorcontrib>Sziklavari, Zsolt</creatorcontrib><creatorcontrib>Vannucci, Jacopo</creatorcontrib><creatorcontrib>Ampollini, Luca</creatorcontrib><creatorcontrib>Ueda, Yuichiro</creatorcontrib><creatorcontrib>Liu, Chaozong</creatorcontrib><creatorcontrib>Bille, Andrea</creatorcontrib><creatorcontrib>Hamaji, Masatsugu</creatorcontrib><creatorcontrib>Aramini, Beatrice</creatorcontrib><creatorcontrib>Inci, Ilhan</creatorcontrib><creatorcontrib>Pompili, Cecilia</creatorcontrib><creatorcontrib>Van Veer, Hans</creatorcontrib><creatorcontrib>Fiorelli, Alfonso</creatorcontrib><creatorcontrib>Sara, Ricciardi</creatorcontrib><creatorcontrib>Sarkaria, Inderpal S</creatorcontrib><creatorcontrib>Davoli, Fabio</creatorcontrib><creatorcontrib>Kuroda, Hiroaki</creatorcontrib><creatorcontrib>Bölükbas, Servet</creatorcontrib><creatorcontrib>Li, Xiao-Fei</creatorcontrib><creatorcontrib>Huang, Lijun</creatorcontrib><creatorcontrib>Jiang, Tao</creatorcontrib><title>Expert consensus on resection of chest wall tumors and chest wall reconstruction</title><title>Translational lung cancer research</title><addtitle>Transl Lung Cancer Res</addtitle><description>Chest wall tumors are a relatively uncommon disease in clinical practice. Most of the published studies about chest wall tumors are usually single-center retrospective studies, involving few patients. Therefore, evidences regarding clinical conclusions about chest wall tumors are lacking, and some controversial issues have still to be agreed upon. In January 2019, 73 experts in thoracic surgery, plastic surgery, science, and engineering jointly released the Chinese Expert Consensus on Chest Wall Tumor Resection and Chest Wall Reconstruction (2018 edition). After that, numerous experts put forward new perspectives on some academic issues in this version of the consensus, pointing out the necessity to further discuss the points of contention. Thus, we conducted a survey through the administration of a questionnaire among 85 experts in the world. Consensus has been reached on some major points as follows. (I) Wide excision should be performed for desmoid tumor (DT) of chest wall. After excluding the distant metastasis by multi-disciplinary team, solitary sternal plasmacytoma can be treated with extensive resection and adjuvant radiotherapy. (II) Wide excision with above 2 cm margin distance should be attempted to obtain R0 resection margin for chest wall tumor unless the tumor involves vital organs or structures, including the great vessels, heart, trachea, joints, and spine. (III) For patients with chest wall tumors undergoing unplanned excision (UE) for the first time, it is necessary to carry out wide excision as soon as possible within 1-3 months following the previous surgery. (IV) Current Tumor Node Metastasis staging criteria (American Joint Committee on Cancer) of bone tumor and soft tissue sarcoma are not suitable for chest wall sarcomas. (V) It is necessary to use rigid implants for chest wall reconstruction once the maximum diameter of the chest wall defect exceeds 5 cm in adults and adolescents. (VI) For non-small cell lung cancer (NSCLC) invading the chest wall, wide excision with neoadjuvant and/or adjuvant therapy are recommended for patients with stage T
N
M
. As clear guidelines are lacking, these consensus statements on controversial issues on chest wall tumors and resection could possibly serve as further guidance in clinical practice during the upcoming years.</description><subject>Consensus</subject><issn>2218-6751</issn><issn>2226-4477</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpVkEtPwzAQhC0EolXpjTPKDyDg9SNOLkioKg-pEhzgbLnOmgalSWU7PP49SQtVOe1od2ZW-gg5B3rFgHJ1HWvrUwZpweURGTPGslQIpY4HDXmaKQkjMg3hnVIKohBSFqdkxCWlgvFiTJ7nXxv0MbFtE7AJXUjaJvEY0MaqV61L7ApDTD5NXSexW7c-JKYpD7ceh3D03TZyRk6cqQNOf-eEvN7NX2YP6eLp_nF2u0gtz0VMpZIMwFLFKTIuUarMAIItIc9tUTqQOUNLmQSKzmXcLaVQWFAjex9zwCfkZte76ZZrLC020Ztab3y1Nv5bt6bS_y9NtdJv7YfOMyVkkfcFl7sC69sQPLp9FqjewtUD3F7qHm5vvzj8tzf_oeQ_zMd3ow</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Wang, Lei</creator><creator>Yan, Xiaolong</creator><creator>Zhao, Jinbo</creator><creator>Chen, 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Luca</creatorcontrib><creatorcontrib>Ueda, Yuichiro</creatorcontrib><creatorcontrib>Liu, Chaozong</creatorcontrib><creatorcontrib>Bille, Andrea</creatorcontrib><creatorcontrib>Hamaji, Masatsugu</creatorcontrib><creatorcontrib>Aramini, Beatrice</creatorcontrib><creatorcontrib>Inci, Ilhan</creatorcontrib><creatorcontrib>Pompili, Cecilia</creatorcontrib><creatorcontrib>Van Veer, Hans</creatorcontrib><creatorcontrib>Fiorelli, Alfonso</creatorcontrib><creatorcontrib>Sara, Ricciardi</creatorcontrib><creatorcontrib>Sarkaria, Inderpal S</creatorcontrib><creatorcontrib>Davoli, Fabio</creatorcontrib><creatorcontrib>Kuroda, Hiroaki</creatorcontrib><creatorcontrib>Bölükbas, Servet</creatorcontrib><creatorcontrib>Li, Xiao-Fei</creatorcontrib><creatorcontrib>Huang, Lijun</creatorcontrib><creatorcontrib>Jiang, Tao</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Translational lung cancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Lei</au><au>Yan, Xiaolong</au><au>Zhao, Jinbo</au><au>Chen, Chang</au><au>Chen, Chun</au><au>Chen, Jun</au><au>Chen, Ke-Neng</au><au>Cao, Tiesheng</au><au>Chen, Ming-Wu</au><au>Duan, Hongbin</au><au>Fan, Junqiang</au><au>Fu, Junke</au><au>Gao, Shugeng</au><au>Guo, Hui</au><au>Guo, Shiping</au><au>Guo, Wei</au><au>Han, Yongtao</au><au>Jiang, Ge-Ning</au><au>Jiang, Hongjing</au><au>Jiao, Wen-Jie</au><au>Kang, Mingqiang</au><au>Leng, Xuefeng</au><au>Li, He-Cheng</au><au>Li, Jing</au><au>Li, Jian</au><au>Li, Shao-Min</au><au>Li, Shuben</au><au>Li, Zhigang</au><au>Li, Zhongcheng</au><au>Liang, Chaoyang</au><au>Mao, Nai-Quan</au><au>Mei, Hong</au><au>Sun, Daqiang</au><au>Wang, Dong</au><au>Wang, Luming</au><au>Wang, Qun</au><au>Wang, Shumin</au><au>Wang, Tianhu</au><au>Liu, Lunxu</au><au>Xiao, Gaoming</au><au>Xu, Shidong</au><au>Yang, Jinliang</au><au>Ye, Ting</au><au>Zhang, Guangjian</au><au>Zhang, Linyou</au><au>Zhao, Guofang</au><au>Zhao, Jun</au><au>Zhong, Wen-Zhao</au><au>Zhu, Yuming</au><au>Hulsewé, Karel W E</au><au>Vissers, Yvonne L J</au><au>de Loos, Erik R</au><au>Jeong, Jin Yong</au><au>Marulli, Giuseppe</au><au>Sandri, Alberto</au><au>Sziklavari, Zsolt</au><au>Vannucci, Jacopo</au><au>Ampollini, Luca</au><au>Ueda, Yuichiro</au><au>Liu, Chaozong</au><au>Bille, Andrea</au><au>Hamaji, Masatsugu</au><au>Aramini, Beatrice</au><au>Inci, Ilhan</au><au>Pompili, Cecilia</au><au>Van Veer, Hans</au><au>Fiorelli, Alfonso</au><au>Sara, Ricciardi</au><au>Sarkaria, Inderpal S</au><au>Davoli, Fabio</au><au>Kuroda, Hiroaki</au><au>Bölükbas, Servet</au><au>Li, Xiao-Fei</au><au>Huang, Lijun</au><au>Jiang, Tao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Expert consensus on resection of chest wall tumors and chest wall reconstruction</atitle><jtitle>Translational lung cancer research</jtitle><addtitle>Transl Lung Cancer Res</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>10</volume><issue>11</issue><spage>4057</spage><epage>4083</epage><pages>4057-4083</pages><issn>2218-6751</issn><eissn>2226-4477</eissn><abstract>Chest wall tumors are a relatively uncommon disease in clinical practice. Most of the published studies about chest wall tumors are usually single-center retrospective studies, involving few patients. Therefore, evidences regarding clinical conclusions about chest wall tumors are lacking, and some controversial issues have still to be agreed upon. In January 2019, 73 experts in thoracic surgery, plastic surgery, science, and engineering jointly released the Chinese Expert Consensus on Chest Wall Tumor Resection and Chest Wall Reconstruction (2018 edition). After that, numerous experts put forward new perspectives on some academic issues in this version of the consensus, pointing out the necessity to further discuss the points of contention. Thus, we conducted a survey through the administration of a questionnaire among 85 experts in the world. Consensus has been reached on some major points as follows. (I) Wide excision should be performed for desmoid tumor (DT) of chest wall. After excluding the distant metastasis by multi-disciplinary team, solitary sternal plasmacytoma can be treated with extensive resection and adjuvant radiotherapy. (II) Wide excision with above 2 cm margin distance should be attempted to obtain R0 resection margin for chest wall tumor unless the tumor involves vital organs or structures, including the great vessels, heart, trachea, joints, and spine. (III) For patients with chest wall tumors undergoing unplanned excision (UE) for the first time, it is necessary to carry out wide excision as soon as possible within 1-3 months following the previous surgery. (IV) Current Tumor Node Metastasis staging criteria (American Joint Committee on Cancer) of bone tumor and soft tissue sarcoma are not suitable for chest wall sarcomas. (V) It is necessary to use rigid implants for chest wall reconstruction once the maximum diameter of the chest wall defect exceeds 5 cm in adults and adolescents. (VI) For non-small cell lung cancer (NSCLC) invading the chest wall, wide excision with neoadjuvant and/or adjuvant therapy are recommended for patients with stage T
N
M
. As clear guidelines are lacking, these consensus statements on controversial issues on chest wall tumors and resection could possibly serve as further guidance in clinical practice during the upcoming years.</abstract><cop>China</cop><pub>AME Publishing Company</pub><pmid>35004239</pmid><doi>10.21037/tlcr-21-935</doi><tpages>27</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2218-6751 |
| ispartof | Translational lung cancer research, 2021-11, Vol.10 (11), p.4057-4083 |
| issn | 2218-6751 2226-4477 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8674598 |
| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Consensus |
| title | Expert consensus on resection of chest wall tumors and chest wall reconstruction |
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