Although uncommon, primary and metastatic neoplasms can occur in the c
hest wall. For malignant neoplasms, the potential for cure depends on
the completeness of resection, histologic type, and tumor stage. Each
patient warrants individual evaluation for chest wall resection. Opera
tive selection is based on the potential benefits, operative feasibili
ty, patient health, and anticipated tumor biology. The choice of recon
struction techniques is based on the tumor's location, the size of the
remaining defect, and the availability of autogenous graft materials.
Skeletal and soft tissue reconstruction can be performed safely in a
single stage.