Sreevatsa M R, Srinivasarao Ranganath Vitlapur
M S Ramaiah Medical College, MS Ramaiah Nagar, Bangalore, Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2011 Oct;63(4):310-2. doi: 10.1007/s12070-011-0220-z. Epub 2011 Apr 8.
Schwannoma arising from the vagus is an uncommon (2-5%) benign nerve tumour. This tumour most often presents as a slow growing asymptomatic solitary neck mass which rarely undergoes malignant transformation. Definitive pre-operative diagnosis may be difficult and investigations such as FNAC have low specificity. The carotid artery and internal jugular vein may be displaced antero-laterally. Diagnosis is based on clinical suspicion and confirmation is obtained by means of surgical pathology. Surgical excision is the treatment of choice for this tumour, with recurrence being rare. We describe three cases of schwannoma involving the vagus who presented differently to our unit during past 5 years.
起源于迷走神经的神经鞘瘤是一种罕见(2%-5%)的良性神经肿瘤。这种肿瘤最常表现为生长缓慢、无症状的孤立性颈部肿块,很少发生恶变。术前明确诊断可能困难,诸如细针穿刺抽吸活检等检查特异性较低。颈动脉和颈内静脉可能向前外侧移位。诊断基于临床怀疑,并通过手术病理得以证实。手术切除是该肿瘤的首选治疗方法,复发罕见。我们描述了过去5年中在我们科室就诊的3例累及迷走神经的神经鞘瘤患者,其表现各异。