Abstract
Cervicothoracic neuroblastoma arising from the stellate ganglion in children has always
been a challenge to the pediatric surgeon. Localized thoracic neuroblastoma in children
has a very good prognosis if excised completely even without adjuvant therapy. Several
approaches have been described to resect cervicothoracic neuroblastoma arising from
the stellate ganglion with limited success. The muscle and bone sparing transmanubrial
transcostal approach which spares the clavicle and the sternomastoid muscle provides
excellent exposure for the complete excision of the tumor and excellent functional
outcome. We report a 2-year-old girl with cervicothoracic neuroblastoma who had an
excellent outcome with this approach.
Key words
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References
- Treatment of superior sulcus tumor by irradiation followed by resection.Ann Surg. 1961; 154: 29-40
- Voie d'abord: abord de l'artere sous-claviere.in: Patel J Leger L Nouveau traite de technique chirurgicale. Masson et Cie, Tome V. Paris1970: 107-140
- Anterior transcervical-thoracic approach for radical resection of lung tumors invading the thoracic inlet.J Thoracic Cardiovasc Surg. 1993; 105: 1025-1034
- Short malunions of the clavicle: an anatomic and functional study.J Shoulder Elbow Surg. 2005; 14: 349-354
- Transmanubrial osteomuscular sparing approach for apical chest tumors.Ann Thoracic Surg. 1997; 63: 563-566
- The transmanubrial approach: a new operative approach to cervicothoracic neuroblastoma in children.Surgery. 2006; 139: 109-114
Article info
Publication history
Accepted:
November 5,
2007
Received in revised form:
November 3,
2007
Received:
October 22,
2007
Identification
Copyright
© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.