pulmonary disorders
Chest Wall Tumors
Treatment of Chest Wall Tumors
Surgery Sometimes combination chemotherapy, radiation therapy, and surgery Most chest wall tumors are treated with surgical resection and reconstruction. Reconstruction often uses a combination of myocutaneous flaps and prosthetic materials. The presence of a malignant pleural effusion is a contraindication to surgical resection. In cases of multiple myeloma or isolated plasmacytoma, chemotherapy and radiation therapy should be the primary therapy. Small-cell malignant tumors such as Ewing sarcoma and Askin tumor should be treated with a multimodality approach, combining chemotherapy, radiation therapy, and surgery. In cases of chest wall metastasis from distant tumors, a palliative chest wall resection is recommended only when nonsurgical options do not alleviate symptoms. 