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The aim of this work was to evaluate the different surgical repair procedures and to discuss their technical applications according to the indications. From april 1989 to november 1999 we observed 18 patients, 12 males (66,7%) and 6 females (33,3%) presenting tumors of the chest wall. All patients were submitted preoperatively to a general respiratory check-up, and to an assesment of loco-regional and metastatic lesions. In 13 patients (72,2%), on the basis of topographical and morphological characteristics of the mass, we performed a transthoracic needle biopsy under scanner monitoring. The exeresis, in 6 patients (33,3%), implied a large resection of osteo-muscolar structures. In 10 patients (55,ó%), the benign nature of lesion, required extirpation solely of the tumor. In 2 patients (11,1%), owing to the extensive infiltration of the primary neoplasm, solely complementary treatment was carried out.