Abstract
We report on a case of advanced papillary thyroid carcinoma extending to the supraclavicular fossa. The patient was a 55-year-old man presenting with left-sided anterior neck swelling. Preoperative CT scan showed the mass displacing the left-subclavian vein inferiorly, which was suspected of invasion. The tumor was surgically resected by performing the modified transmanubrial osteomuscular sparing approach with additional separation of sternocleidomastoid muscle. The postoperative course was uneventful. The patient was able to elevate the left arm to almost the normal range, and remained free of recurrence after 16 months of follow-up.