Burduk Paweł K, Dalke Krzysztof, Szukalski Jacenty, Kaźmierczak Wojciech, Mierzwiński Józef
Katedra i Klinika Otolaryngologii CM im L Rydygiera w Bydgoszczy UMK w Toruniu.
Otolaryngol Pol. 2006;60(1):101-3.
Neurilemmoma is benign, slowly growing tumour that arise from nerves. Cervical sympathetic chain neurilemmoma is rare. The majority of neurilemmomas are asymptomatic at the time of presentation. The incidence of Horner's syndrome before excision has been reported only once. Surgical resection almost leaves the patient with a Horner's syndrome.
A 28 years old woman was admitted to Otolaryngology Department with left side neck mass. The tumor was first noticed 6 month later, and it was slowly growing. It was completely asymptomatic. She underwent excision of the tumor through an incision parallel with the anterior border of the strenomastoid muscle.
Histology showed the tumour to be a neurilemmoma arising within the cervical sympathetic chain. During postoperative period in 2 day we observed a left side Horner's syndrome, completely asymptomatic.
Neurilemmomas very rarely arise from the cervical sympathetic chain. They usually present as asymptomatic neck mass. The only complication encountered after surgery is Horner's syndrome, which required no treatment.
神经鞘瘤是一种起源于神经的良性、生长缓慢的肿瘤。颈交感神经链神经鞘瘤较为罕见。大多数神经鞘瘤在出现时无症状。术前霍纳综合征的发生率仅被报道过一次。手术切除几乎会使患者出现霍纳综合征。
一名28岁女性因左侧颈部肿块入住耳鼻喉科。该肿瘤在6个月后首次被发现，且生长缓慢。它完全无症状。她通过与胸锁乳突肌前缘平行的切口接受了肿瘤切除。
组织学检查显示该肿瘤为起源于颈交感神经链的神经鞘瘤。术后第2天，我们观察到左侧霍纳综合征，完全无症状。
神经鞘瘤极少起源于颈交感神经链。它们通常表现为无症状的颈部肿块。手术后遇到的唯一并发症是霍纳综合征，无需治疗。
