原发性骨性胸壁肿瘤并不常见,约占所有骨肿瘤的7～8%。本文回顾性分析1957年以来的临床53例胸壁肿瘤,其中良性26例,恶性27例,49例为肋骨肿瘤,4例胸骨肿瘤。53例中男女区别不大。主要症状为局部疼痛与肿块,但有12例(22.6%)无症状,在常规X线检查时才发现。5例肿瘤部位在第1—2肋骨者,出现上肢肌肉萎缩无力及臂丛受压疼痛等症状,其中4例恶性,1例良性。4例有胸腔积液者均为恶性肿瘤,包括2例尤文氏肉瘤及2例软骨肉瘤。所有病例均经随访2月～26年,平均8.3年。26例良性肿瘤中,2例位于胸骨,其余均位于肋骨。年龄从4～66岁,平均32岁。其中软骨瘤11例,骨软骨瘤3例,成骨瘤1例,动脉瘤性骨囊肿4例,骨纤维性发育不良4例,嗜酸性肉芽肿3例。这 Primary thoracic wall tumors are uncommon, accounting for approximately 7 to 8% of all bone tumors. This article retrospectively analyzed 53 clinical chest wall tumors since 1957, including 26 benign cases, 27 malignant cases, 49 rib tumors, and 4 sternal tumors. In 53 cases, the difference between men and women was small. The main symptoms were local pain and mass, but 12 cases (22.6%) were asymptomatic and were only found on routine X-ray examination. In 5 cases of tumors located on the 1-2 ribs, there were symptoms of muscle weakness and brachial plexus compression and pain in the upper limbs, of which 4 cases were malignant and 1 case was benign. Four patients with pleural effusion were malignant, including 2 Ewing’s sarcoma and 2 chondrosarcoma. All cases were followed up for 2 months to 26 years, an average of 8.3 years. Of the 26 benign tumors, 2 were located on the sternum and the rest were on the ribs. Age from 4 to 66 years old, an average of 32 years old. Among them, there were 11 cases of chondroma, 3 cases of osteochondroma, 1 case of osteoblastoma, 4 cases of aneurysmal bone cyst, 4 cases of osteofibrous dysplasia, and 3 cases of eosinophilic granuloma. This