Joseph J A, Jaberoo M C, Sandison A, Grant W E
ENT Department, John Radcliffe Hospital, Oxford, UK.
BMJ Case Rep. 2010 Jul 21;2010:bcr0220102707. doi: 10.1136/bcr.02.2010.2707.
The case of a rare tumour in a rare location is presented, and important aspects of the management of similar clinical scenarios are highlighted. Tonsillar schwannoma is a slow growing lesion presenting in the third to fifth decade of life. Histological diagnosis is made through the identification of Antoni A (Verocay bodies) and Antoni B cells with S-100 expression. A 24-year-old man presented with a 5 cm right tonsillar tumour causing dysphagia and dysphonia for 6 weeks. Tonsillar schwannoma can be diagnosed in the outpatient clinic. CT imaging and tissue biopsy are the appropriate investigations followed by complete surgical enucleation. Schwannoma has the potential for malignant transformation, with no recorded cases of this occurring in the tonsil.
本文介绍了一例罕见部位的罕见肿瘤病例，并强调了类似临床情况管理的重要方面。扁桃体神经鞘瘤是一种生长缓慢的病变，多见于30至50岁。通过识别具有S-100表达的Antoni A（Verocay小体）和Antoni B细胞进行组织学诊断。一名24岁男性出现一个5厘米的右侧扁桃体肿瘤，导致吞咽困难和声音嘶哑6周。扁桃体神经鞘瘤可在门诊诊断。CT成像和组织活检是合适的检查方法，随后进行完整的手术摘除。神经鞘瘤有恶变的可能，扁桃体未见恶变病例报道。
