The location of the tumor and its relationships are shown. The left ureter was encased in the posterior aspect of the tumor, the proximal jejunum was draped over the tumor anteriorly, and the left colon lay along its lateral aspect. The tumor abutted the aorta on its medial side.
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Because of the excellent prognosis with combined chemotherapy and surgery, the patient was taken to the operating room with urology, surgical oncology and vascular surgery teams participating in the case. The left thoracoabdominal incision, extending from midline into the left tenth interspace, is outlined.
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