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26例神经鞘瘤术前误诊原因分析

[Analysis of preoperative misdiagnosis causes in 26 cases of neurolemmoma].

作者信息

Wang Xu-Xia, Zhang Jun, Wei Feng-Cai, Zhao Zuo-Qin

机构信息

School of Stomatology, Shandong University, Jinan 250012, Shandong Province, China.

出版信息

Shanghai Kou Qiang Yi Xue. 2004 Jun;13(3):225-6.

Abstract

PURPOSE

To improve the understanding of the diagnosis and treatment of neurolemmoma in maxillofacial region by summarizing its clinical features.

METHODS

The preoperative misdiagnosis causes and treatment in 26 cases of neurolemmoma were reviewed.

RESULTS

Among all cases treated surgically, 4 cases were pleomorphic adenoma of the parotid gland; 3 cases were malignant tumor of the parotid gland; 1 case was zygomatic osteoma; 4 cases were carotid body tumor; 1 case was branchial cleft cysts; 3 cases were cervical lymph node metastasis; 2 cases were pharyngeal malignant tumor; 4 cases were fibromatosis of the tongue; 2 cases were dermoid cyst; 2 cases were sublingual gland tumor.

CONCLUSION

It is difficult to diagnose neurolemmoma before operation, however, it is important to carefully protect the function of the nerve in order to avoid severe complications.

摘要

目的

通过总结颌面部神经鞘瘤的临床特征,提高对其诊断和治疗的认识。

方法

回顾26例神经鞘瘤的术前误诊原因及治疗情况。

结果

在所有接受手术治疗的病例中,4例为腮腺多形性腺瘤;3例为腮腺恶性肿瘤;1例为颧骨骨瘤;4例为颈动脉体瘤;1例为鳃裂囊肿;3例为颈部淋巴结转移;2例为咽部恶性肿瘤;4例为舌部纤维瘤病;2例为皮样囊肿;2例为舌下腺肿瘤。

结论

神经鞘瘤术前诊断困难,然而,仔细保护神经功能以避免严重并发症很重要。

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