Anterosuperior mediastinal nodes need to be treated mainly by surgery. The mediastinum is a fibrous tissue compartment behind the middle of the sternum of the body, which contains a lot of important organs of the human body, including cardiovascular, bronchial, esophageal, aortic arch, superior and inferior vena cava, etc.. Clinically, the mediastinum is further divided into nine zones, and the anterosuperior mediastinum is one of these systematic divisions. Nodules in the anterior superior mediastinum mainly come from the thymus, hard lumps of intrathoracic thyroid cysts, but also some are developmental nerve sheath tumors, cysts, and lymph node enlargement, etc. Inflammation accounts for a very small portion of the cases. So the anterior superior mediastinum is a particularly small space, and when it grows and develops to a certain level it produces compression, which leads to pressure on vital organs producing suffocation and diseases affecting cardiovascular activity. Therefore, regardless of whether it is benign or malignant, as long as it produces compression symptoms and affects the normal state of life, active surgical treatment should be taken.