Primary tumors at the cervicothoracic junction
10.3760/cma.j.issn.1673-0860.2012.11.010
- VernacularTitle:原发性颈胸结合部肿瘤的诊治
- Author:
De-Liang HUANG
1
;
Liang-Fa LIU
;
Yong-Yi YUAN
;
Jia-Ling WANG
;
Hui ZHAO
;
Wen-Ming WU
Author Information
1. 100853北京,解放军总医院耳鼻咽喉头颈外科
- Keywords:
Head and neck neoplasms;
Neck;
Thorax
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2012;47(11):922-925
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis and treatment of the primary tumors at the cervicothoracic junction.Methods Seventeen cases of the tumors at the cervicothoracic junction were diagnosed by surgery and histopathology in Chinese PLA General Hospital from Mar 2005 to Dec 2009.The clinical manifestions,the surgical approaches and surgical complications were analyzed retrospectively.Results The operation approches included the lateral cervical incision (1 patient),the combined cervical and thorax incision(3 patients),the supraclavicle cervical incision (6 patients),and the combined cervical incision and superior mediastinotomy (7 patients).Except 3 cases in whom the tumors surrounded or sticked to vital blood vessels or nerves had experienced subtotal resection,the remained 14 cases had total ablation.The morbidity occurred in 5 patients,including subclavian artery,vertebral artery or common carotid artery rupture,recuurent laryngeal nerve trauma,brachial plexus trauma and Horner’ syndrome.The histopathology included the cyst,the venous haemangioma,the nodus cell neuroma,the fibroma,the fibrosarcoma,the liposarcoma,the myofibroblastic tumor,the ectopic hamartomous thymoma,the neurofibroma,and neurinoma.The patients were followed up from 1 to 4.5 years post-operatively,with a median of 25.3months.The two malignant patients were alive being free of tumor with follow-up of 3.7 years and 2 years respectively.The three cases with tumor partial resection were all alive with tumour.The remained 12 benign cases with total tumor ablation were alive free of tunour.Conclusions The histopathology of tomours at the cervicothoracic junction is diversity.But the commonest pathology is neurinoma.When the tumor is extensive,enveloping or involving the vital blood vessel and nerve,total ablation of tumour is difficult,and the norbidity is very high.
