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目的探讨跨锁骨和胸骨肿瘤的外科治疗方法。方法回顾性分析和总结12例超越颈胸解剖分界线的颈根部和胸腔纵隔肿瘤行颈胸联合进路手术治疗的相关问题。结果本组良性肿瘤7例,经手术治疗后随访1~8年均健在。恶性肿瘤5例,其中4例为术前各种检查未发现原发灶的颈根部转移鳞状细胞癌,行手术和常规放疗后,1例于术后16个月死于原位复发和腋下转移,1例术后失访,另2例分别于术后4年2个月和2年3个月时随访观察无复发。1例颈根部和纵隔甲状腺乳头癌行手术和放疗后3年4个月健在。结论通过对12例跨锁骨和胸骨肿瘤颈胸联合进路手术治疗方式和结果分析,提高对传统颈根部肿物手术治疗的认识。
Objective To investigate the surgical treatment of supraclavicular and sternal tumors. Methods Retrospective analysis and summary of 12 cases of neck and thoracic mediastinal tumors beyond the anatomical boundary of the neck and neck related issues of surgical treatment of cervical and thoracic approach. Results The group of benign tumors in 7 cases, after surgery, follow-up 1-8 years are alive. Malignant tumors in 5 cases, of which 4 cases were not found in the primary examination of various cervical spondyloligosacral metastases squamous cell carcinoma, after surgery and conventional radiotherapy, 1 case died of in situ recurrence 16 months after surgery and axillary 1 case was lost to follow-up, and the other 2 cases were followed up for 4 years and 2 months and 2 years and 3 months respectively. No recurrence was observed. One case of cervical root and mediastinal papillary thyroid carcinoma survived 3 years and 4 months after surgery and radiotherapy. Conclusion Through the 12 cases of supraclavicular and sternal tumor neck and neck combined approach of surgical treatment and results analysis, to improve the traditional neck root tumor surgical treatment of awareness.