Paravertebral tumours of the cervicothoracic junction extending into the mediastinum: surgical strategies in a no man’s land

Purpose Cervicothoracic paravertebral neoplasms extending into the mediastinum pose a surgical challenge due the complex regional anatomy, their biological nature, rarity and surgeon’s unfamiliarity with the region. We aim to define a surgical access framework addressing the aforementioned complexities whilst achieving oncological clearance.