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一例罕见的咽后神经纤维瘤病例研究及文献综述

A rare case study of a retropharyngeal neurofibroma and a brief literature review.

作者信息

Atallah I, Gervasoni J, Gay E, Righini C A

机构信息

Clinique universitaire d'ORL, CHU de Grenoble, BP 217, 38042 Grenoble cedex 9, France; Université Joseph-Fourier, 621, avenue centrale, 38041 Saint-Martin-d'Hères, France; Inserm U823, BP 170, 38042 Grenoble cedex 9, France.

Clinique universitaire d'ORL, CHU de Grenoble, BP 217, 38042 Grenoble cedex 9, France; Département d'anatomie et cytologie pathologique, BP 217, 38042 Grenoble cedex 9, France.

出版信息

Eur Ann Otorhinolaryngol Head Neck Dis. 2016 Feb;133(1):47-50. doi: 10.1016/j.anorl.2015.11.003. Epub 2015 Dec 4.

Abstract

INTRODUCTION

Space occupying lesions in the retropharyngeal space are rare.

CASE REPORT

Here, we present a rare case of a retropharyngeal neurofibroma treated surgically through an open cervical approach without any complication.

DISCUSSION

Neurofibromas are benign, slowly growing neoplasms that could be associated or not with neurofibromatosis. They are derived from peripheral nerves. Diagnostic work-up should include CT-scan and MRI as well as a biopsy to confirm the diagnosis. Treatment of localized and diffuse neurofibromas is often surgical resection, which may require sacrifice of the nerve. Malignant transformation of these lesions, without association to NF-1, is rare and exceptionally documented in the literature.

CONCLUSION

We presented a rare case of solitary neurofibroma of the retropharyngeal space. Complete resection of the lesion was performed without any complication. We also presented a brief review of the literature about neurofibromas.

摘要

引言

咽后间隙占位性病变较为罕见。

病例报告

在此,我们呈现一例罕见的咽后神经纤维瘤病例,通过开放性颈部入路进行手术治疗,未出现任何并发症。

讨论

神经纤维瘤是良性、生长缓慢的肿瘤,可能与神经纤维瘤病相关,也可能无关。它们起源于周围神经。诊断性检查应包括CT扫描和MRI,以及活检以确诊。局限性和弥漫性神经纤维瘤的治疗通常是手术切除,这可能需要牺牲神经。这些病变在无NF-1关联的情况下发生恶性转化很罕见,文献中仅有极少记录。

结论

我们呈现了一例罕见的咽后间隙孤立性神经纤维瘤病例。病变得以完整切除,未出现任何并发症。我们还对关于神经纤维瘤的文献进行了简要综述。

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