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The case report of Askin’s tumor in a 16-year-old girl is focused on the  still debatable surgical controversy in the treatment of PNET tumor, i.e.  whether disarticulation of involved rib at the costovertabral joint should be  accepted as the mandatory surgical procedure. It was concluded that the  procedure, if feasible, may offer better prognosis of PNET because  progression-free survival rate of patients without costovertebral junction  involvement reported in multicenter studies was statistically significantly  better than in patients in whom PNET has involved the costovertebral junction  or bone metastases were present at the diagnosis. The cartilage is a natural  barrier for tumor spread and this property should be augmented by radical  surgery. Disarticulation of involved rib or ribs and pleurectomy should be  routinely performed if the surgery is contemplated with proper timing between  the cycles of induction chemotherapy

acta chirurgica iugoslavica

Costovertebral RIB disarticulation and pleurectomy in Askin’s tumor: A mandatory approach to radical surgery in children? Case report and guiedelines to surgical treatment