Xu Xie-Qun, Hong Tao, Zheng Chao-Ji
Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
World J Clin Cases. 2018 Dec 26;6(16):1202-1205. doi: 10.12998/wjcc.v6.i16.1202.
Schwannoma rarely originates from the recurrent laryngeal nerve, and there are few reports on schwannoma originating from the recurrent nerve in the mediastinum. Herein, we present an extremely rare case of schwannoma originating from the recurrent laryngeal nerve in the neck.
This is a case report of one patient diagnosed with thyroid cancer with schwannoma originating from the recurrent laryngeal nerve in the neck, which was incidentally found during a thyroidectomy, and a review of the literature.
Preoperative diagnostic examinations are of less use for detecting schwannoma originating from a recurrent laryngeal nerve in the neck in such small size, which may only incidentally be found during a thyroidectomy. Surgical excision with opening the capsule and shelling out the tumor is the treatment of choice. If the nerve is unable to be preserved, end-to-end recurrent laryngeal nerve anastomosis may be a simple and minimally invasive reconstruction procedure to improve phonation.
神经鞘瘤很少起源于喉返神经,关于纵隔内喉返神经起源的神经鞘瘤报道较少。在此,我们报告一例极为罕见的起源于颈部喉返神经的神经鞘瘤病例。
这是一例关于一名被诊断为甲状腺癌且伴有起源于颈部喉返神经的神经鞘瘤患者的病例报告,该神经鞘瘤是在甲状腺切除术中偶然发现的,并对相关文献进行了回顾。
术前诊断检查对于检测如此小尺寸的起源于颈部喉返神经的神经鞘瘤作用较小,其可能仅在甲状腺切除术中偶然被发现。打开包膜并剥除肿瘤的手术切除是首选治疗方法。如果神经无法保留,喉返神经端端吻合术可能是一种简单且微创的重建手术,以改善发声。