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颈部肿胀的罕见病因:孤立性丛状神经纤维瘤。

A rare cause of cervical swelling: Solitary plexiform neurofibroma.

作者信息

Ahmedou Ahmed Brahim, Mohamed Amine Mennouni, Youssef Oukessou, Sami Rouadi, Abada Redallah, Mohamed Roubal, Mohamed Mahtar, Meriem Regragui, Mehdi Karkouri

机构信息

ENT, Head and Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II, Casablanca, Morocco.

Pathology Department, Centre IBN ROCHD, Casablanca, Morocco.

出版信息

Ann Med Surg (Lond). 2021 Mar 16;64:102225. doi: 10.1016/j.amsu.2021.102225. eCollection 2021 Apr.

Abstract

INTRODUCTION

Plexiform cervical neurofibromas are benign neoplasm, extremely rare, difficult to diagnose and to manage. Only some cases have been reported in the literature.

CASE PRESENTATION

We report the case of a 60-year-old man admitted for a lateral neck mass, for which the surgical indication was the increase in volume of this mass, as well as the aesthetical impairment, the surgical exploration found the tumor attached to the cervical plexus. The excision of the mass was performed without damaging nerve. The pathological study was in favor of a plexiform neurofibroma.

DISCUSSION

Even though Plexiform cervical neurofibroma are extremely rare, and their diagnosis are not often primary evoked in front of any growing mass of this region, the surgeon must keep in mind the existence of these neoplasms as a differential diagnosis of a neck tumor.

CONCLUSION

Surgery remains the gold standard in the treatment of these locally invasive tumors. It is essential that the surgeon keep in mind the possibility of these tumors as a differential diagnosis of a neck tumor.

摘要

引言

丛状颈部神经纤维瘤是一种良性肿瘤,极为罕见,诊断和处理都很困难。文献中仅报道了少数病例。

病例报告

我们报告一例60岁男性因颈部外侧肿块入院,手术指征是该肿块体积增大以及美观受损,手术探查发现肿瘤附着于颈丛。在未损伤神经的情况下切除了肿块。病理研究支持丛状神经纤维瘤的诊断。

讨论

尽管丛状颈部神经纤维瘤极为罕见,且在该区域任何生长性肿块面前通常不会首先考虑其诊断,但外科医生必须牢记这些肿瘤的存在,作为颈部肿瘤的鉴别诊断。

结论

手术仍然是治疗这些局部侵袭性肿瘤的金标准。外科医生必须牢记这些肿瘤作为颈部肿瘤鉴别诊断的可能性,这至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377b/7988485/f8062d4187f0/gr1.jpg

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