OBJECTIVES The cervicothoracic junction is a special section that connects the neck, thoracic cavity, mediastinum and axilla. Tumours in the region often invade or compress surrounding tissues and organs, which makes the surgical treatment difficult. METHODS A retrospective analysis involving 69 patients with tumours at the cervicothoracic junction. Clinical data with regard to manifestation, surgical approach, resection degree, outcome and pathological types were collected. RESULTS A total of 48 cases of asymptomatic patients and 21 cases of patients with ≥1 clinical manifestation were enrolled in the study. Twenty-seven patients received radical resection with video-assisted thoracoscopic surgery. Anterior approach was the predominant treatment method in open surgery (25 cases, 36.2%), while the anterolateral approach was used in 8 cases (6 cases of hemiclamshell incisions and 2 cases of trap-door incisions). In addition, we observed 1 case of posterior approach, 2 cases of posterolateral approach and 1 case of supraclavicular approach combined with posterolateral approach. Pathological examination results revealed 67 cases of radical resection and 2 cases of microscopic residual. Neurilemmoma was the most widespread pathological type (30 cases, 43.5%), followed by tumour originating from fibrous tissues (5 cases, 7.2%). A 3-year overall survival rate of the 69 patients was 89.9%, while a 5-year overall survival rate was 85.5%. CONCLUSIONS Tumours associated with the cervicothoracic junction are characterized by their unique location, complex anatomy and various histopathological subtypes. An individualized approach during surgery enhances safety and standardized of treatments for patients with tumours located at the cervicothoracic junction.

中文翻译：

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颈胸交界处肿瘤患者的个体化手术治疗

目的 颈胸交界处是连接颈部、胸腔、纵隔和腋窝的特殊部分。该区域的肿瘤常侵犯或压迫周围组织器官，给手术治疗带来困难。方法 回顾性分析 69 例颈胸交界处肿瘤患者。收集临床表现、手术入路、切除程度、结局及病理类型等临床资料。结果共纳入无症状患者48例，临床表现≥1例患者21例。27 名患者接受了电视胸腔镜手术根治性切除术。前路是开放手术的主要治疗方法（25例，36.2%），前外侧入路8例（半蛤形切口6例，活板门切口2例）。此外，我们观察到后入路1例，后外侧入路2例，锁骨上入路联合后外侧入路1例。病理检查结果显示根治性切除67例，镜下残留2例。神经鞘瘤是最普遍的病理类型（30 例，43.5%），其次是纤维组织起源的肿瘤（5 例，7.2%）。69例患者3年总生存率为89.9%，5年总生存率为85.5%。结论 与颈胸交界处相关的肿瘤具有独特的位置、复杂的解剖结构和多种组织病理学亚型。