Malignant tumors of the chest wall

20 cases of malignant tumors of the chest wall underwent surgical therapy from 1980 to 1986. All patients were submitted to radical surgery consisting in dissecting the pleura for a perioperative verification with excision of wide margins in musculoskeletal. Reconstruction was performed without prosthetic replacement, according to the method of simple myoplasty. After an average follow-up of 74 months 9 patients are live; 11 cases decreased meanly at 37 months from surgery for local recurrence. It's therefore suggested the utility of surgical therapy instead of other therapeutical approach.