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[颈部神经节瘤的管理]

[Management of ganglioneuroma in the neck].

作者信息

Song Yang, Liu Hua

机构信息

Department of Otorhinolaryngology, Tangshan Worker's Hospital of Hebei Medical University, Tangshan 063000, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 May;26(9):392-3.

Abstract

OBJECTIVE

To evaluate clinical feature, diagnosis, treatment and prognosis of ganglioneuroma in the neck.

METHOD

The medical records of 6 patients with cervical ganglioneuroma which were confirmed by pathology between 1995 and 2009 were retrospectively reviewed.

RESULT

Patients with ganglioneuroma in the neck typically present with an asymptomatic neck mass. Neither imaging procedures nor fine needle aspiration made a definite diagnosis before surgery. All cases were operated, and developed Horner syndrome. With a median follow-up time of 5.9 years, all cases survived without local recurrence or distant metastasis.

CONCLUSION

Ganglioneuroma in the neck is a rare well differentiated benign tumour. Definite diagnosis only can be made after pathology. Complete surgical excision is the treatment of choice, as it will ensure thorough sampling of the tumour and cure. Postoperative prognosis is favorable if total resection.

摘要

目的

评估颈部神经节细胞瘤的临床特征、诊断、治疗及预后。

方法

回顾性分析1995年至2009年间经病理确诊的6例颈部神经节细胞瘤患者的病历资料。

结果

颈部神经节细胞瘤患者通常表现为无症状性颈部肿块。术前影像学检查及细针穿刺均未明确诊断。所有病例均接受手术治疗,术后出现霍纳综合征。中位随访时间为5.9年,所有病例均存活,无局部复发或远处转移。

结论

颈部神经节细胞瘤是一种罕见的高分化良性肿瘤。只有经病理检查才能明确诊断。完整的手术切除是首选治疗方法,因为这样能确保对肿瘤进行充分取样并治愈。如果能完全切除,术后预后良好。

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