Patient: Description of condition (time of onset, main symptoms, hospital visited, etc.): The patient is a female, 60 years old, in good health. One month ago she started to cough with chest pain and a burning sensation. Sometimes her right hand is numb. She was diagnosed with a mediastinal mass in Jilin Province China-Japan Friendship Hospital. No treatment yet Because the tumor is in part of the thorax 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 to the patient, the tumor in the thoracic cavity or the one in the spine? Pan Tiewen, Department of Thoracic Surgery, Shanghai Long March Hospital: This is a neurogenic tumor, which requires cooperation between neurosurgery or spine surgery and thoracic surgery, which requires multidisciplinary cooperation, and all disciplines need certain strength, otherwise it is easy to recur. Patient: Is neurosurgery or thoracic surgery the main focus? Please recommend a hospital. Thank you! I have consulted several doctors and your answer is the clearest and clearest. Thank you Shanghai Changzheng Hospital Thoracic Surgery Department Pan Tiewen: I have done this surgery myself, so I naturally know all about it. I can’t recommend a hospital, and it’s hard to know other doctors without having seen others operate. The professors I have worked with, I know 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 the surgery? Thank you for your attention to our question in your busy schedule. Thank you for your hard work. Pan Tiewen, Department of Thoracic Surgery, Shanghai Long March Hospital: Both need to be completely removed, originating from the spinal cord or the nerve roots emanating from it, are the same tumor, there is no question which one is more important, cooperate with the surgery at the same time. Patient: What is the reason for my mother’s increased pain in the past two days? Pan Tiewen, Thoracic Surgery Department, Shanghai Long March Hospital: In the absence of other reasons, it is related to the tumor, as it is the reason for the neurogenic tumor. Patient: What is the approximate cost of surgery? Thank you Shanghai Changzheng Hospital Thoracic Surgery Department Pan Tiewen: It depends on whether the material is used in the surgery, mainly whether the spine surgery uses fixed steel plates, which may not be used in general, and the cost is generally 40-50,000 in Shanghai.