Anterior approach to Pancoast tumors

Pancoast tumors, or tumors of the superior sulcus, are rare non-small cell lung cancers arising from the apex of the lung and involving the structures of the apical chest at the level of the first rib or above (1). The involvement of the chest wall and the frequent infiltration of vital structures, such as the spine, the brachial plexus and the subclavian vessels, make surgical resection particularly challenging.