Resection of the entire first rib for a malignant tumor via the transclavicular approach: a case report and literature review - Summary - MDSpire

Resection of the entire first rib for a malignant tumor via the transclavicular approach: a case report and literature review

  • By

  • Zhiqing Zhao

  • Xinli Sun

  • Bing Wang

  • Taiqiang Yan

  • March 18, 2026

  • 0 min

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Objective:

To report a case of complete first rib resection for a malignant tumor using the transclavicular approach and review relevant literature, highlighting its significance in surgical oncology.

Key Findings:
  • The transclavicular approach provides excellent exposure for safe and complete resection of first rib tumors.
  • The patient experienced resolution of symptoms and no neurological deficits postoperatively.
  • Histopathology confirmed the tumor as lymphoma, indicating the need for careful follow-up.
Interpretation:

The transclavicular approach is a valuable surgical option for selected tumors of the first rib, allowing for effective neurovascular protection and direct visualization, with potential implications for future surgical techniques.

Limitations:
  • The rarity of first rib tumors limits the generalizability of findings.
  • No standardized surgical approach exists, making comparisons difficult, and potential biases in case selection may affect outcomes.
Conclusion:

The transclavicular technique is effective for resecting malignant tumors of the first rib, ensuring safety and preserving neurovascular integrity, underscoring its importance in surgical oncology.

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