Thomas Andrew J, Wiggins Richard H, Gurgel Richard K
Division of Otolaryngology, University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132, USA.
Division of Otolaryngology, University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132, USA.
Otolaryngol Clin North Am. 2015 Apr;48(2):343-59. doi: 10.1016/j.otc.2014.12.008. Epub 2015 Feb 4.
This article discusses the epidemiology, presentation, and diagnostic work-up of nonparaganglioma jugular foramen tumors, and the management options and predicted outcomes. Paragangliomas are the most common jugular foramen tumors, but other nonparagangliomas are important to consider in a differential for jugular foramen tumors. This article specifically focuses on jugular foramen schwannomas, meningiomas, metastatic disease, and regional pathologies that may extend to the jugular foramen, such as endolymphatic sac tumors, chordomas, and chondrosarcomas. Operative approaches to these tumors are also reviewed.
本文讨论了非副神经节瘤性颈静脉孔区肿瘤的流行病学、临床表现、诊断检查,以及治疗选择和预期结果。副神经节瘤是最常见的颈静脉孔区肿瘤,但在颈静脉孔区肿瘤的鉴别诊断中,其他非副神经节瘤也需要重点考虑。本文特别关注颈静脉孔区神经鞘瘤、脑膜瘤、转移性疾病,以及可能累及颈静脉孔区的局部病变,如内淋巴囊肿瘤、脊索瘤和软骨肉瘤。文中还对这些肿瘤的手术入路进行了综述。