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KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Definitions
- Resection of invasive malignancy and adjacent structures
- Lung, parietal pleura, and visceral pleura
- Portion of chest wall
- Endothoracic fascia, intercostal muscles, and ribs
- ± superficial tissues (muscle and fat)
- ± portion of vertebral bodies, sternum
- Chest wall reconstruction may be necessary following en-bloc resection
- Defects close to scapular tip, > 5 cm; > 2 ribs resected, involvement of lower ribs
- No reconstruction: Defect < 5 cm, first 2-3 ribs resected
- Resection of invasive malignancy and adjacent structures
IMAGING
General Features
Radiographic Findings
CT Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Alpert JB et al: Imaging the post-thoracotomy patient: anatomic changes and postoperative complications. Radiol Clin North Am. 52(1):85-103, 2014
- Santos HT et al: Lung cancer with chest wall invasion: retrospective analysis comparing en-bloc resection and 'resection in bird cage'. J Cardiothorac Surg. 9:57, 2014
- Aghajanzadeh M et al: Results of chest wall resection and reconstruction in 162 patients with benign and malignant chest wall disease. J Thorac Dis. 2(2):81-5, 2010
- Ferraro P et al: Principles of chest wall resection and reconstruction. Thorac Surg Clin. 20(4):465-73, 2010
- Riquet M et al: Non-small cell lung cancer invading the chest wall. Thorac Surg Clin. 20(4):519-27, 2010
- En bloc resection for lung cancer with chest wall invasion. J Chin Med Assoc. 69(4):157-61, 2006
- Voltolini L et al: Lung cancer with chest wall involvement: predictive factors of long-term urvival after surgical resection. Lung Cancer. 52(3):359-64, 2006
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References
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Tables
KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Definitions
- Resection of invasive malignancy and adjacent structures
- Lung, parietal pleura, and visceral pleura
- Portion of chest wall
- Endothoracic fascia, intercostal muscles, and ribs
- ± superficial tissues (muscle and fat)
- ± portion of vertebral bodies, sternum
- Chest wall reconstruction may be necessary following en-bloc resection
- Defects close to scapular tip, > 5 cm; > 2 ribs resected, involvement of lower ribs
- No reconstruction: Defect < 5 cm, first 2-3 ribs resected
- Resection of invasive malignancy and adjacent structures
IMAGING
General Features
Radiographic Findings
CT Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Alpert JB et al: Imaging the post-thoracotomy patient: anatomic changes and postoperative complications. Radiol Clin North Am. 52(1):85-103, 2014
- Santos HT et al: Lung cancer with chest wall invasion: retrospective analysis comparing en-bloc resection and 'resection in bird cage'. J Cardiothorac Surg. 9:57, 2014
- Aghajanzadeh M et al: Results of chest wall resection and reconstruction in 162 patients with benign and malignant chest wall disease. J Thorac Dis. 2(2):81-5, 2010
- Ferraro P et al: Principles of chest wall resection and reconstruction. Thorac Surg Clin. 20(4):465-73, 2010
- Riquet M et al: Non-small cell lung cancer invading the chest wall. Thorac Surg Clin. 20(4):519-27, 2010
- En bloc resection for lung cancer with chest wall invasion. J Chin Med Assoc. 69(4):157-61, 2006
- Voltolini L et al: Lung cancer with chest wall involvement: predictive factors of long-term urvival after surgical resection. Lung Cancer. 52(3):359-64, 2006
