Surgical management with XXXX for metastatic @entity5 located on cervicothoracic junction : a single center study.

@entity5 @entity1 @entity158 @entity1161
OBJECTIVE: The cervicothoracic junction (CTJ) is a biomechanically and anatomically complex region that has traditionally posed problems for surgical access. In this retrospective study, we describe our clinical experiences of the treatment of metastatic @entity5 at the CTJ and the results. METHODS: From June 2006 to December 2011, 23 @entity1 who underwent surgery for @entity5 involving the CTJ were enrolled in our study. All of the @entity1 were operated on through the posterior approach, and extent of resection was classified as radical, debulking, and simple neural decompression. Adjuvant @entity1161 ( @entity1161 ) was also considered. Visual analog scale score for @entity158 assessment and Medical Research Council (MRC) grade for motor weakness were used, while pre- and post-operative performance status was evaluated using the Eastern Cooperative Oncology Group (ECOG). RESULTS: Almost all of the @entity1 were operated using palliative surgical methods (91.3%, 21/23). Ten complications following surgery occurred and revision was performed in four @entity1 . Of the 23 @entity1 of this study, 22 showed significant @entity158 relief according to their visual analogue scale scores. Concerning the aspect of neurological and functional recovery, mean MRC grade and ECOG score was significantly improved after surgery (p<0.05). In terms of survival, @entity1161 had a significant role. Median overall survival was 124 days after surgery, and the adjuvant- @entity1161 group (median 214 days) had longer survival times than prior- @entity1161 (63 days) group. CONCLUSION: Although surgical procedure in CTJ may be difficult, we expect good clinical results by adopting a palliative posterior surgical method with appropriate preoperative preparation and postoperative treatment.
