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舌部神经鞘瘤:一例病例报告并文献复习

Schwannoma of the tongue: a case report with review of literature.

作者信息

Lee Eun-Young, Kim Jae-Jin, Seok Hyun, Lee Ja-Youn

机构信息

Department of Oral and Maxillofacial Surgery, College of Medicine and Medical Research Institute, Chungbuk National University, SeoWon-gu Chungdae-ro 1, Cheong-ju, 28644 South Korea.

出版信息

Maxillofac Plast Reconstr Surg. 2017 Jul 5;39(1):17. doi: 10.1186/s40902-017-0116-2. eCollection 2017 Dec.

Abstract

BACKGROUND

Schwannomas (or neurilemmomas) of the tongue are benign, usually solitary, encapsulated masses derived from Schwann cells. Clinical evidence indicates that schwannoma is painless and slow growing. In general, schwannoma is treated by surgical excision. Here, we describe a case of schwannoma of the tongue, include a review of the literature from 1955 to 2016, and provide data on age, gender, location, presenting symptoms, size, and treatment methods.

CASE PRESENTATION

A 71-year-old female patient presented with a swelling at the base of the tongue of unknown duration. Magnetic resonance images (MRI) showed a large well-circumscribed solid mass and no significant lymph node enlargement. The mass was excised without removing overlying mucosa.

CONCLUSIONS

The authors report a case of lingual schwannoma that was completely removed intraorally without preoperative biopsy. No sign or symptoms of recurrence were observed at 12 months postoperatively.

摘要

背景

舌部神经鞘瘤(或神经膜瘤)是起源于施万细胞的良性、通常为孤立的、有包膜的肿块。临床证据表明神经鞘瘤无痛且生长缓慢。一般来说,神经鞘瘤通过手术切除进行治疗。在此,我们描述一例舌部神经鞘瘤病例,包括对1955年至2016年文献的回顾,并提供有关年龄、性别、位置、临床表现、大小和治疗方法的数据。

病例介绍

一名71岁女性患者因舌根部出现肿胀就诊,肿胀持续时间不明。磁共振成像(MRI)显示一个边界清晰的大实性肿块,且无明显淋巴结肿大。未切除覆盖黏膜,完整切除了肿块。

结论

作者报告一例舌部神经鞘瘤病例,该病例在未进行术前活检的情况下经口完全切除。术后12个月未观察到复发迹象或症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25d/5496924/a4b8dcb9635f/40902_2017_116_Fig1_HTML.jpg

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