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The cervical tumor observed in five cases extending to the upper mediastinum was extirpated in our department by using a combination of a neck dissection and a longitudinal median sternotomy.These tumors were originated from thyroid,thymus,and cervical nerve. The longitudinal median sternotomy is a useful approach to the upper mediastinum in order to keep a good operation view,to decrease bleeding volume,and to shorten operation time. Therefore,this approach should be adapted more for the extirpation of cervical tumor which extends to the upper mediastinum and for a mediastinal dissection.

Longitudinal median sternotomy for extirpation of cervical tumors extended to the upper mediastinum.