University of Novi Sad, School of Medicine, Institute of Oncology, Diagnostic Imaging Center, Institutski put 4, 21204 Sremska Kamenica, Serbia.
J Neurol Sci. 2012 Dec 15;323(1-2):254-6. doi: 10.1016/j.jns.2012.08.023. Epub 2012 Sep 23.
The secondary neoplastic involvement of the cervical plexus in patients with head and neck malignancies is extremely rare. MR examination of the neck revealed the diffuse neoplastic infiltration of the right C2 root, in a 57-year-old patient with several months long pain in the right ear region and a history of the tongue squamous cell carcinoma. Associated perineural tumor spread and consequent distal involvement of great auricular nerve and vagus nerve were evident. Best of our knowledge, this is the first reported involvement of the cervical plexus in patients with head and neck cancers, associated with the clearly documented interconnection between the cervical plexus and cranial nerves via great auricular nerve.
颈部恶性肿瘤患者的颈丛继发恶性肿瘤累及极为罕见。对一名 57 岁的患者进行颈部磁共振检查，该患者右耳区域有几个月的疼痛史，且患有舌鳞癌，结果显示右侧 C2 神经根弥漫性肿瘤浸润。明显可见神经周围肿瘤扩散，并导致耳大神经和迷走神经远端受累。据我们所知，这是首例报道的头颈部癌症患者颈丛受累的病例，且明确记录了颈丛通过耳大神经与颅神经的连接。
