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[高度吞咽困难的罕见病因:会厌前间隙神经鞘瘤]

[An unusual cause of high dysphagia: schwannoma of the preepiglottic space].

作者信息

Ayad Jalila Ben, Nekro Chaimae, Rokhssi Safaa, Lassikri Omar, Benbouzid Mohamed Anass, Essakalli Leila

机构信息

Service d'Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Hôpital des Spécialités, CHU Ibn Sina, Rabat, Maroc.

出版信息

Pan Afr Med J. 2017 Dec 6;28:295. doi: 10.11604/pamj.2017.28.295.14146. eCollection 2017.

Abstract

Schwannomas are well encapsulated mesenchymal tumors of peripheral nerves, with slow growth. The laryngeal schwanomma is exceptional, we present a case not described in the literature of shwannoma in the pre epiglottic space. A 50-year-old woman, who had a history of foreign body sensation for 4 years ago, progressing to high dysphagia and hoarseness. Direct laryngoscopy in suspension demonstrated a regular submucosal mass in the supraglottic space, reducing pharyngo-laryngeal space. CT and MRI concluded with a benign tumor of the preepiglottic space. External surgical excision was performed and a primary tracheotomy was required. The histological examination with an immunochemical study confirmed a benign schwannoma. There was no complication postoperatively. The outcome was excellent after 2 years of follow-up.

摘要

施万瘤是周围神经的包膜完整的间叶性肿瘤,生长缓慢。喉施万瘤较为罕见,我们报告一例文献中未描述的会厌前间隙施万瘤。一名50岁女性,4年前有异物感病史,进展为高度吞咽困难和声音嘶哑。悬吊喉镜检查显示声门上间隙有一个规则的黏膜下肿块,使咽喉间隙缩小。CT和MRI诊断为会厌前间隙良性肿瘤。进行了外部手术切除,且需要一期气管切开术。组织学检查及免疫化学研究证实为良性施万瘤。术后无并发症。随访2年,结果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e9e/5903703/4539f5424485/PAMJ-28-295-g001.jpg

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