Cervical Lesions

Extension of the tumor into the thoracic inlet must be determined prior to surgery as the exposure is much different for these tumors. Most pure cervical lesions have favorable histologic characteristics, a good pseudocapsule, and occur in patients <1 year of age at diagnosis.Very large lesions may require partial or complete division of the sternocleidomastoid muscle. Grossly involved jugulodigastric lymph nodes should be removed in a systematic way using a modified neck-dissection technique. Parents should be forewarned that removal of cervical lesions almost always results in Horner's syndrome.

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