Oyewumi Modupe, Higgins Kevin, Enepekides Danny, Rapha Simon
University of Toronto, Toronto, Canada.
J Surg Case Rep. 2010 Aug 1;2010(6):2. doi: 10.1093/jscr/2010.6.2.
This teaching case report represents an unusual example of a neck mass in a previously healthy individual. The presence of a new neck mass is a relatively common head and neck problem and requires a full work up including a complete history and physical examination. With respect to our patient, thorough history taking, physical examinations and specific investigations led to the diagnosis of a malignant and functionally active paraganglioma. Vagal paraganglioma themselves are rare tumours and account for only 5-25% of all paragangliomas in the head and neck region. The presence of a malignant, functionally active, catecholamine-secreting paraganglioma is even rarer and accounts for only 1-3% of all reported glomus vagale tumours. This case report illustrates the need to carefully monitor all neck masses for changes in size, for any distortion to surrounding structures, and their given function.
本教学病例报告展示了一名既往健康个体出现颈部肿块的罕见病例。新发颈部肿块是相对常见的头颈部问题，需要进行全面检查，包括完整的病史采集和体格检查。就我们的患者而言，通过全面的病史采集、体格检查和特定检查，最终诊断为恶性且功能活跃的副神经节瘤。迷走神经副神经节瘤本身就是罕见肿瘤，仅占头颈部所有副神经节瘤的5% - 25%。恶性、功能活跃、分泌儿茶酚胺的副神经节瘤更为罕见，仅占所有已报道的迷走神经球瘤的1% - 3%。本病例报告表明，需要仔细监测所有颈部肿块的大小变化、周围结构的任何变形及其特定功能。
