title: [Surgical treatment of transclavicular and transsternal tumor].
abstract: OBJECTIVE
  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 metastatic 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.
authors.affiliation: Department of Otorhinolaryngology, China-Japan Union Hospital of Jilin University, Changchun 130031, China.
authors.forename: Dong-Dong
authors.initials: DD
authors.lastname: Zhu
authors.forename: Zhan-Quan
authors.initials: ZQ
authors.lastname: Yang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D002968:Clavicle / Q000473:pathology; D005260:Female; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000473:pathology; D008875:Middle Aged; D009333:Neck / Q000601:surgery*; D012189:Retrospective Studies; D013249:Sternum / Q000473:pathology; D035423:Thoracic Cavity / Q000601:surgery*; D055815:Young Adult