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Thoracoscopic Transclavicular Approach for a Large Thoracic Inlet Tumor
Shi Yan, MD, Yu Sun, MD, Yingshi Sun, MD, Zhengfu Fan, MD, Kevin Phan, BS (Adv), Yue Yang, MD, Nan Wu, MD The Annals of Thoracic Surgery Volume 98, Issue 4, Pages e91-e93 (October 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions
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Fig 1 (A) Right thoracic inlet mass before surgery and (B) after removal of the tumor and part of the right clavicle. (C) L-shaped anterior transcervical-thoracic approach with supraclavicular extension (multiple skin cafe-au-lait macules in lower panel). (D) Thoracoscopic view of the thoracic inlet tumor and the anterior working window after partial resection of the rib 1. (E) Anterior working window and major vessels after tumor delivery. (F) Photomicrograph of mitotically active malignant peripheral nerve sheath tumors in the right clavicle and negative S-100 staining (lower panel) (×100 magnification). (BCV = brachiocephalic vein; C = clavicle; CCA = common carotid artery; IJV = internal jugular vein; IV = innominate vein; PN = phrenic nerve; R = first rib; SCJ = sternoclavicular joint; SCV = subclavian vein; T = thoracic inlet tumor.) The Annals of Thoracic Surgery , e91-e93DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions
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