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[Surgical treatment of transclavicular and transsternal tumor]

AbstractOBJECTIVE: To investigate surgical treatment approach of transclavicular and transsternal tumor. METHODS: Twelve cases of neck-root and mediastinum thoracis tumor subjected to cervicothoracic-combined surgical treatment were retrospectively analyzed and summarized. RESULTS: Seven cases of benign tumor survived 1-8 years after surgery. The other 5 patients were malignant tumor. Among 4 cases of matastatic squamous cell carcinoma without definite origin at neck-root site who underwent operation and routine radiotherapy, one case died of orthotopic relapse and armpit metastasis at the 16th months postoperatively; one case was lost of follow-up after surgery; another two cases showed no relapse after follow-up of 50 months and 27 months, respectively. In addition, one case of thyroid papillary carcinoma located at neck-root and mediastinum remained alive for 40 months after operation combined with radiotherapy and chemotherapy. CONCLUSIONS: The evaluation of twelve cases of transclavicular and transsternal tumor with adoption of cervicothoracic-combined surgical approach improves and develops traditional knowledge of surgical therapy of neck-root tumors.
AuthorsDong-Dong Zhu, Zhan-Quan Yang (Affiliation: Department of Otorhinolaryngology, China-Japan Union Hospital of Jilin University, Changchun 130031, China.)
JournalZhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery (Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi) Vol. 41 Issue 11 Pg. 848-50 (Nov 2006) ISSN: 1673-0860 China
PMID17283540 (Publication Type: English Abstract, Journal Article)