To discuss the methods and key points of surgical management of cervico-thoracic junctional tumor.

Twenty-six patients with cervico-thoracic junctional tumor undergoing surgical treatment in Department of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou University between July 2012 to April 2015 were enrolled in the retrospective study. Among these 26 patients, 5 were performed T or L shape incision which combined cervical collar incision with median sternotomy, 8 underwent cervical collar incision and video-assisted thoracoscopic surgery, 2 received cervical collar incision and posterolateral thoracic incision, and cervical collar incision was conducted in the other 11 patients.

There was no death after operation in these patients, and all were successfully discharged. Twenty-four patients were followed up for 1 year, and all recovered well. The other 2 patients were followed up for 6 months, and there was no complaint of discomfort.

Cervico-thoracic junctional tumor has complex anatomical position, and there may exist higher difficulty and risk in surgery. The suitable operation method and surgical approach should be chosen according to tumor characteristics in order to achieve the ideal therapeutic effect.