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Headache Cells

Figure 11-16. A, Computed tomography scan showing a large right-sided inferior mediastinal teratomatous mass. B, Posterolateral thoracotomy, with division of the latissimus dorsi muscle only. C, The sympathetic chain is detached from the retrocrural mass. D, Medial dissection of the mass begins with detachment from the costovertebral angle.

Figure 11-16. A, Computed tomography scan showing a large right-sided inferior mediastinal teratomatous mass. B, Posterolateral thoracotomy, with division of the latissimus dorsi muscle only. C, The sympathetic chain is detached from the retrocrural mass. D, Medial dissection of the mass begins with detachment from the costovertebral angle.

sion-free and overall survival: (1) complete resection (p < .001), (2) less than 10% viable malignant cells in the residual mass (p = .001), and (3) a good prognostic group1 (p = .01). No significant difference was detected in the 5-year overall survival rate in postoperative chemotherapy recipients when compared to those who did not receive chemotherapy. In particular, patients in the favorable risk group had a 100% 5-year overall survival rate, with or without postoperative chemotherapy.

Sternal Split
Figure 11-17. A, Computed tomography scan showing an anterior mediastinal residual teratoma. B, Divarication of the sternal split; the mass is between the two lungs.
Right Mediastinal Lobe Lung
Figure 11-18. A, Large metastasis in the right upper lobe of the lung. B, Hilar dissection through an anterolateral thoracotomy to perform an upper right lobectomy.

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