Lima Antonio F, Moreira Filipa C, Menezes Ana, Dias Luís
Department of Otorhinolarynogology, Braga Hospital, Braga, Portugal.
Turk Arch Otorhinolaryngol. 2018 Dec;56(4):237-240. doi: 10.5152/tao.2018.3690. Epub 2018 Dec 1.
Ganglioneuroma is a rare, benign, non-invasive tumor emerging from the sympathetic system. Of these tumors, only 8% occur in the neck. In this report, we present a case of a 13-year-old girl with a 2-year history of enlarging neck mass. Her only complaint, aside from neck swelling, was dysphagia. Physical and radiological examinations revealed a large mass centered in the right carotid space. A transcervical approach was used to excise the tumor emerging from the sympathetic ganglia. The patient developed temporary Horner's syndrome postoperatively. In a few weeks, she was completely asymptomatic. Histological examination was compatible with ganglioneuroma. Surgical excision is the only definite treatment of cervical ganglioneuroma and is also the only way to confirm the diagnosis. Injury during surgery may result in significant morbidity.
神经节神经瘤是一种罕见的、良性的、非侵袭性的起源于交感神经系统的肿瘤。在这些肿瘤中,仅有8%发生于颈部。在本报告中,我们呈现了一例13岁女孩的病例,其颈部肿物增大已有2年病史。除颈部肿胀外,她唯一的主诉是吞咽困难。体格检查和影像学检查发现一个以右侧颈动脉间隙为中心的巨大肿物。采用经颈部入路切除起源于交感神经节的肿瘤。患者术后出现了暂时性霍纳综合征。几周后,她完全没有症状了。组织学检查结果与神经节神经瘤相符。手术切除是颈部神经节神经瘤唯一确切的治疗方法,也是确诊的唯一途径。手术过程中的损伤可能导致严重的并发症。