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Chinese Journal of Thoracic Surgery(Electronic Edition) ›› 2022, Vol. 09 ›› Issue (03): 157-163. doi: 10.3877/cma.j.issn.2095-8773.2022.03.05

• Surgical Treatment of Superior Sulcus Tumor or T3 Stage Lung Cancer Invading the Chest Wall • Previous Articles     Next Articles

Progress in surgical treatment of non-small cell lung cancer invading the chest wall

Xiao Liang1, Lei Wang1,(), Tao Jiang1,()   

  1. 1. Department of Thoracic Surgery, Tangdu Hospital, Air Force Medical University, Xi’an 710038, China
  • Received:2022-08-10 Revised:2022-08-22 Accepted:2022-08-23 Online:2022-08-28 Published:2022-09-14
  • Contact: Lei Wang, Tao Jiang

Abstract:

Non-small cell lung cancer (NSCLC) invading the chest wall was once considered to have poor prognosis. Pulmonary resection combined with lymph node dissection, chest wall resection and chest wall reconstruction have been the main surgical methods. However, unified standard has not been determined for preoperative neoadjuvant therapy, surgical and reconstruction methods, and postoperative adjuvant therapy. In recent years, with the development of surgical resection methods and chest wall reconstruction technology, complete tumor resection is no longer a challenge. Tumor targeted therapy and immunotherapy have become new directions for neoadjuvant therapy and postoperative adjuvant therapy research, which is expected to further improve the prognosis of patients with NSCLC invading the chest wall. This article summarizes the latest research progress in surgical and reconstruction methods, preoperative neoadjuvant and postoperative adjuvant therapy for patients with resectable non-small cell lung cancer invading the chest wall, in order to provide help for the treatment decision of patients with this type of cancer.

Key words: Chest wall invasion, Non-small cell lung cancer, Chest wall reconstruction

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