Patient: description of illness (onset time, main symptoms, hospitalization, etc.): The patient is a 60-year-old woman in good health. One month ago, she started coughing and had chest pain with burning sensation. Sometimes numbness in the right hand. Diagnosed as mediastinal mass in Jilin Sino-Japanese Friendship Hospital. It hasn’t been treated yet Because the tumor is in part of the chest cavity and also in the spine, and some doctors say it is called neurogenic tumor, I don’t know which one should be treated first and which department should I stay in? What is the name of this disease? Which one is more serious for the patient, the tumor in the thoracic cavity or the one in the spine? Pan Tiewen, Department of Thoracic Surgery, Shanghai Changzheng Hospital: This is a neurogenic tumor, which requires cooperation between neurosurgery or spine surgery and thoracic surgery, and multidisciplinary cooperation, and the disciplines all need a certain degree of strength, otherwise it is easy to recur. Patient: Is it mainly neurosurgery or thoracic surgery? Please recommend a hospital. Thank you! Patient: I have consulted several doctors, and your answer is the most clear and concise. Thank you Shanghai Changzheng Hospital Thoracic Surgery Pan Tiewen: I have done this surgery myself and naturally understand all of it. I can’t recommend a hospital, it’s hard to know another doctor without having seen someone else’s surgery. The professors I have worked with, I understand their surgical ability. PATIENT: Which is more serious for the patient: a tumor in the chest or in the spine? Or is it more damaging to the patient itself during surgery? Thank you for your attention to our question in your busy schedule. Pan Tiewen, Department of Thoracic Surgery, Shanghai Changzheng Hospital: Both need to be completely resected, originating from the spinal cord or the nerve roots it emanates from, it is the same tumor, there is no question of which is more important, and the surgery is performed cooperatively at the same time. Patient: May I ask my mother in the past two days the pain aggravation is how Shanghai Changzheng Hospital Thoracic Surgery Pan Tiewen: no other reasons for the case, related to the tumor, because it is the cause of neurogenic tumors. Patient: What is the approximate cost of surgery? Thank you Shanghai Changzheng Hospital Thoracic Surgery Pan Tiewen: Depending on whether the material is used in the surgery, mainly whether the spinal surgery is used to fix the steel plate or not, which may not be used in general, the cost is generally required to be 40,000-50,000 in Shanghai.