Case Reports
Vascular Tumors Arising in the Chest Wall: 25 Years' Experience
A. Santiago Recuerdaa,
, M.E. Corpa Rodríguezb, J. García-Sánchez Girónb, P. Díaz-Agero Álvarezb, J.C. Vázquez Pelillob, M. Casillas Pajuelob
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asantiago@mi.madritel.es/
anasansecu@hotmail.com
Correspondence: Dra. A Santiago Recuerda. Isla de Arosa, 8, 14B. 28035 Madrid. España
anasansecu@hotmail.com
Correspondence: Dra. A Santiago Recuerda. Isla de Arosa, 8, 14B. 28035 Madrid. España
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"apellidos" => "Santiago Recuerda" "email" => array:2 [ 0 => "asantiago@mi.madritel.es/" 1 => "anasansecu@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "M.E." "apellidos" => "Corpa Rodríguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "García-Sánchez Girón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "P." "apellidos" => "Díaz-Agero Álvarez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:3 [ "nombre" => "J.C." "apellidos" => "Vázquez Pelillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 5 => array:3 [ "nombre" => "M." "apellidos" => "Casillas Pajuelo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario La Paz, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario La Paz, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dra. A Santiago Recuerda. Isla de Arosa, 8, 14B. 28035 Madrid. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-05-04" "fechaAceptado" => "2004-05-18" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153677" "palabras" => array:5 [ 0 => "Vascular tumors" 1 => "Chest wall" 2 => "Hemangioma" 3 => "Angiosarcoma" 4 => "Hemangioendothelioma" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153676" "palabras" => array:5 [ 0 => "Tumores vasculares" 1 => "Pared torácica" 2 => "Hemangioma" 3 => "Angiosarcoma" 4 => "Hemangioendotelioma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Seventy-three interventions for chest wall tumors were performed at our hospital from 1978 through 2003. Six (8.2%) tumors were vascular. Four of them were soft tissue tumors, and two involved bone. The histologic diagnoses were hemangioendothelioma (1), low-grade angiosarcoma (1), and hemangioma (4). The diagnosis was established after surgery in all cases except one that had been previously diagnosed during an attempted resection before the patient came to our hospital.</p><p class="elsevierStyleSimplePara elsevierViewall">Fine needle aspiration carried out in 4 patients was inconclusive in all cases. Complete tumor resection with a margin greater than 3 cm was performed in each patient. Embolization followed by ligation of the intercostal vessels was performed prior to tumor resection in 1 patient with arteriovenous fistula and diffuse angiomatosis. Chest wall reconstruction after tumor removal was carried out using autologous tissues except in 1 case in which a Marlex mesh (CR Bard Inc., Burlington, USA) and a metallic prosthesis was inserted to prevent deformity in the lower costal arch.</p><p class="elsevierStyleSimplePara elsevierViewall">All patients have been followed and have survived with no evidence of recurrence after follow up ranging from 2 to 25 years.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">En el período de 1978 a 2003 realizamos 73 intervenciones en tumores de la pared del tórax, de los cuales 6 eran tumores vasculares, un 8,2%. Cuatro eran tumores de partes blandas y 2 tenían afectación ósea. El diagnóstico histológico fue de 4 hemangiomas, un hemangioendotelioma y un angiosarcoma de bajo grado. En todos el diagnóstico se estableció tras la cirugía, excepto en un caso que había sido diagnosti-cado previamente en un intento de resección antes de llegar a nuestro servicio.</p><p class="elsevierStyleSimplePara elsevierViewall">A 4 enfermos se les realizó una punción-aspiración con aguja fina, que no fue concluyente en ningún caso. Se practicó resección completa del tumor en todos los pacientes, con un margen superior a 3 cm. En un enfermo con fístula arte-riovenosa y angiomatosis difusa se practicó embolización con posterior ligadura quirúrgica de los vasos intercostales antes de la resección tumoral. La reconstrucción parietal del defecto tras la extirpación del tumor se llevó a cabo con teji-dos propios, excepto en un caso en que utilizamos placa de Marlex y prótesis metálica para evitar la deformidad de la arcada costal inferior.</p><p class="elsevierStyleSimplePara elsevierViewall">Hemos realizado seguimiento de todos los enfermos, que en la actualidad están vivos y sin signos de recidiva, entre 2 y 25 años tras la cirugía.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary chest wall tumors: factors affecting survival" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "RM King" 1 => "PC Pairolero" 2 => "VF Trastek" 3 => "JM Piehler" 4 => "WS Payne" 5 => "PE Bernatz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg." 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Report of 17 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "AJ Howat" 1 => "PE Campbell" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pathology" "fecha" => "1987" "volumen" => "19" "paginaInicial" => "377" "paginaFinal" => "382" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3444663" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Angiosarcoma of the chest wall" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "DE Maziak" 1 => "FM Shamji" 2 => "R Peterson" 3 => "DG Perkins" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 4 | 8 |
| 2024 October | 30 | 18 | 48 |
| 2024 September | 31 | 17 | 48 |
| 2024 August | 58 | 43 | 101 |
| 2024 July | 33 | 20 | 53 |
| 2024 June | 32 | 25 | 57 |
| 2024 May | 33 | 29 | 62 |
| 2024 April | 26 | 21 | 47 |
| 2024 March | 24 | 17 | 41 |
| 2024 February | 20 | 18 | 38 |
| 2024 January | 0 | 1 | 1 |
| 2023 June | 0 | 2 | 2 |
| 2023 March | 0 | 1 | 1 |
| 2023 February | 20 | 20 | 40 |
| 2023 January | 18 | 38 | 56 |
| 2022 December | 22 | 22 | 44 |
| 2022 November | 23 | 25 | 48 |
| 2022 October | 20 | 17 | 37 |
| 2022 September | 15 | 18 | 33 |
| 2022 August | 14 | 34 | 48 |
| 2022 July | 18 | 39 | 57 |
| 2022 June | 18 | 39 | 57 |
| 2022 May | 12 | 31 | 43 |
| 2022 April | 17 | 23 | 40 |
| 2022 March | 20 | 28 | 48 |
| 2022 February | 10 | 46 | 56 |
| 2022 January | 12 | 20 | 32 |
| 2021 December | 14 | 39 | 53 |
| 2021 November | 13 | 30 | 43 |
| 2021 October | 15 | 30 | 45 |
| 2021 September | 15 | 35 | 50 |
| 2021 August | 17 | 23 | 40 |
| 2021 July | 21 | 32 | 53 |
| 2021 June | 18 | 27 | 45 |
| 2021 May | 13 | 23 | 36 |
| 2021 April | 17 | 55 | 72 |
| 2021 March | 25 | 27 | 52 |
| 2021 February | 16 | 16 | 32 |
| 2021 January | 9 | 13 | 22 |
| 2020 December | 7 | 16 | 23 |
| 2020 November | 11 | 14 | 25 |
| 2020 October | 4 | 2 | 6 |
| 2020 September | 6 | 3 | 9 |
| 2020 August | 24 | 16 | 40 |
| 2020 July | 17 | 13 | 30 |
| 2020 June | 4 | 9 | 13 |
| 2020 May | 35 | 18 | 53 |
| 2020 April | 15 | 10 | 25 |
| 2020 March | 9 | 14 | 23 |
| 2020 February | 16 | 13 | 29 |
| 2020 January | 21 | 23 | 44 |
| 2019 December | 14 | 17 | 31 |
| 2019 November | 11 | 23 | 34 |
| 2019 October | 4 | 8 | 12 |
| 2019 September | 4 | 19 | 23 |
| 2019 August | 16 | 11 | 27 |
| 2019 July | 11 | 28 | 39 |
| 2019 June | 5 | 16 | 21 |
| 2019 May | 15 | 21 | 36 |
| 2019 April | 43 | 29 | 72 |
| 2019 March | 12 | 18 | 30 |
| 2019 February | 15 | 16 | 31 |
| 2019 January | 5 | 14 | 19 |
| 2018 December | 9 | 33 | 42 |
| 2018 November | 14 | 39 | 53 |
| 2018 October | 19 | 26 | 45 |
| 2018 September | 18 | 18 | 36 |
| 2018 May | 9 | 0 | 9 |
| 2018 April | 5 | 10 | 15 |
| 2018 March | 2 | 4 | 6 |
| 2018 February | 11 | 14 | 25 |
| 2018 January | 3 | 4 | 7 |
| 2017 December | 6 | 17 | 23 |
| 2017 November | 1 | 29 | 30 |
| 2017 October | 5 | 24 | 29 |
| 2017 September | 8 | 28 | 36 |
| 2017 August | 7 | 27 | 34 |
| 2017 July | 8 | 29 | 37 |
| 2017 June | 8 | 54 | 62 |
| 2017 May | 7 | 29 | 36 |
| 2017 April | 3 | 29 | 32 |
| 2017 March | 2 | 52 | 54 |
| 2017 February | 0 | 31 | 31 |
| 2017 January | 2 | 15 | 17 |
| 2016 December | 5 | 11 | 16 |
| 2016 November | 14 | 23 | 37 |
| 2016 October | 7 | 15 | 22 |
| 2016 September | 6 | 17 | 23 |
| 2016 August | 11 | 6 | 17 |
| 2016 July | 7 | 10 | 17 |
| 2016 March | 3 | 0 | 3 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 76 | 1 | 77 |
| 2015 September | 93 | 27 | 120 |
| 2015 August | 84 | 17 | 101 |
| 2015 July | 78 | 14 | 92 |
| 2015 June | 59 | 18 | 77 |
| 2015 May | 80 | 22 | 102 |
| 2015 April | 55 | 15 | 70 |
| 2015 March | 80 | 12 | 92 |
| 2015 February | 62 | 15 | 77 |
| 2015 January | 62 | 14 | 76 |
| 2014 December | 71 | 14 | 85 |
| 2014 November | 71 | 18 | 89 |
| 2014 October | 80 | 12 | 92 |
| 2014 September | 67 | 20 | 87 |
| 2014 August | 66 | 16 | 82 |
| 2014 July | 56 | 23 | 79 |
| 2014 June | 201 | 20 | 221 |
| 2014 May | 65 | 27 | 92 |
| 2014 April | 53 | 14 | 67 |
| 2014 March | 69 | 18 | 87 |
| 2014 February | 54 | 15 | 69 |
| 2014 January | 59 | 22 | 81 |
| 2013 December | 52 | 17 | 69 |
| 2013 November | 53 | 8 | 61 |
| 2013 October | 44 | 13 | 57 |
| 2013 September | 45 | 16 | 61 |
| 2013 August | 41 | 11 | 52 |
| 2013 July | 50 | 30 | 80 |
| 2013 June | 44 | 15 | 59 |
| 2013 May | 43 | 9 | 52 |
| 2013 April | 31 | 12 | 43 |
| 2013 March | 6 | 1 | 7 |
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