Resection of Superior Sulcus Tumor by a Combined Transmanubrial—Paulson Approach - Abstract
A 75-year-old man complained of pain and swelling of the right shoulder for 2 months. Plain chest radiography revealed a mass in the right upper lung field and dissolution of several ribs. Bronchoscopic brush cytology showed class V squamous cell carcinoma. The patient was diagnosed with clinical stage IIIA (cT4N0M0) lung cancer. After induction chemoradiotherapy, right upper lobectomy was performed and the chest wall was reconstructed. The successful outcomes suggest that the combined transmanubrial—Paulson approach in a half-lateral decubitus position is safe and suitable for resecting superior sulcus tumors.