头颈部颅外神经源性肿瘤
Extracranial neurogenic tumors of the head and neck.
作者信息
Curioni Otávio Alberto, de Souza Ricardo Pires, Mercante Ana Maria da Cunha, de Jesus Ana Carolina, Pavelegeni Alysson, Dedivitis Rogério Aparecido, Rapoport Abrão
机构信息
Faculdade de Ciências Médicas de Santos, Centro Universitário Lusíada (UNILUS), São Paulo, SP, Brazil; Department of Head and Neck Surgery and Otorhinolaryngology, Hospital Heliópolis, São Paulo, SP, Brazil.
Department of Head and Neck Surgery and Otorhinolaryngology, Hospital Heliópolis, São Paulo, SP, Brazil; Department of Radiology, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil; Department of Imaging Diagnosis, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
出版信息
Braz J Otorhinolaryngol. 2015 Nov-Dec;81(6):604-9. doi: 10.1016/j.bjorl.2015.08.012. Epub 2015 Sep 8.
INTRODUCTION
Peripheric nerve tumors typically derive from Schwann cells of the peripheral nerve sheet. Since these tumors are uncommon, they should be considered in preoperative differential diagnosis.
OBJECTIVE
To report the experience of a tertiary care department.
METHODS
Forty-two patients with head and neck peripheral neurogenic tumors were retrospectively analyzed and evaluated from 1977 to 2013. The preoperative diagnosis was confirmed by biopsy or imaging study.
RESULTS
The mean age was 41.7 and 15 patients (36%) were male. The mean size was 5.5cm and 26 (61%) were located laterally in the neck. Most tumors (39.9%) presented as an asymptomatic neck mass. Most (39.9%) were resected through a neck approach. Cranial nerves were the commonest site of origin.
CONCLUSIONS
Extracranial neurogenic tumors presented with a mean size of 5.5cm, were located laterally in the neck, normally had their origin from cranial nerves, and their resection approach is cervical.
引言
周围神经肿瘤通常起源于周围神经鞘的施万细胞。由于这些肿瘤并不常见，因此在术前鉴别诊断中应予以考虑。
目的
报告一家三级医疗机构的经验。
方法
对1977年至2013年期间42例头颈部周围神经源性肿瘤患者进行回顾性分析和评估。术前诊断通过活检或影像学检查得以证实。
结果
平均年龄为41.7岁，15例（36%）为男性。平均大小为5.5厘米，26例（61%）位于颈部外侧。大多数肿瘤（39.9%）表现为无症状的颈部肿块。大多数（39.9%）通过颈部入路切除。脑神经是最常见的起源部位。
结论
颅外神经源性肿瘤平均大小为5.5厘米，位于颈部外侧，通常起源于脑神经，其切除入路为颈部入路。
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