الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Chest wall tumors include primary thoracic wall tumors, metastatic lesions and locally invading malignancies from adjacent tissues. Primary thoracic wall tumors may arise from bone or soft tissue and could be benign or malignant. Wide surgical resection is considered the most effective treatment for the majority of thoracic wall tumors, so adequate oncological resection may result in partial or full-thickness chest wall defects which have to be reconstructed to protect the underlying vital organs and to preserve the respiration physiology. Thoracic wall reconstruction is mainly based on the size and site of the resulting defect, the availability of local tissues to be used for coverage or availability of autogenous graft material, previous surgical operations or radiotherapy and the general condition of the patient. Soft tissue coverage could be achieved by direct closure, the use of breast flap, omentum flap, pedicled myocutaneous flaps, free flaps and perforator flaps. These different procedures also could be used in various combinations. Skeletal reconstruction can be achieved with Marlex mesh, acrylic cement, autologous bone, fascia grafts, polytetrafluroethylene (PTFE) or Gore-Tex patches, bone cement, polypropylene mesh, silicone implants and titanium-based devices or combinations between more than one material