Fixed infraclavicular mass 
A young lady came in with a mass fixed to her chest wall. the overlying skin was soft and mobile. Clearly this is some type of sarcoma. We removed the clavicle and ribs 1-3 en bloc and were able to get clear margins. We repaired the defect with mesh. The right lung definitely has no metastases-haha. She went home after 5 days.

Chest wall skin and breast reflected laterally. Clavicle and
ribs 1-3 have been resected

Defect closed with mesh

Two days postop
Three weeks postop