Chest wall resection for XXXX of the rib: an unnecessary procedure.

@entity1 @entity2828 @entity66 @entity75 @entity1635 @entity358 @entity85
Approximately 10% of all cases of @entity2828 arise from a rib. Conventional management has included chest wall resection (3 or more ribs) and radiation therapy. These forms of therapy have led to complications such as @entity1635 and @entity85 . The addition of radiation therapy can result in @entity358 and also potentiate @entity358 . Between 1971 and 1978, 9 @entity1 were treated with surgery, radiation therapy, and combination chemotherapy (three- or four-drug regimen). Only 2 @entity1 (22%) survive. Since 1979, 14 @entity1 were entered into a new protocol consisting of sequential induction chemotherapy, followed by delayed surgical resection whenever feasible. Three @entity1 had complete resection of their @entity75 at onset. Initially, 7 @entity1 had either biopsy (N = 4) or incomplete chest wall resection N = 3). All 4 @entity1 with biopsy only at diagnosis had excellent responses to induction chemotherapy, allowing delayed resection of the involved rib without chest wall resection. Overall, 12 of 14 @entity1 (86%) treated since 1979 survive, with only 2 receiving radiation therapy for @entity66 in the primary rib site.
