起源于颈交感神经链的巨大颈动脉间隙神经鞘瘤——病例报告
A Huge Carotid Space Schwannoma Arising from The Cervical Sympathetic Chain - A Case Report.
作者信息
Elsayed Malek A, Ibrahim Ahmed M, El Darawany Mustafa A, Ellabban Mohamed A
机构信息
Department of Plastic Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Department of Pathology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
出版信息
Ann Maxillofac Surg. 2021 Jan-Jun;11(1):144-147. doi: 10.4103/ams.ams_230_19. Epub 2021 Jul 24.
THE RATIONALE
Although 25%-45% of schwannomas are originating from the neck, carotid space schwannomas are extremely rare.
PATIENT CONCERNS
We report a rare case of huge-sized schwannoma in a 20-year-old student who presented with a symptomless large carotid space mass.
DIAGNOSIS
Cervical magnetic resonance imaging (MRI) with contrast revealed a huge, well-defined mass measuring 13.7 cm × 6.4 cm × 4.1 cm. Cervical MRI along with brain MRI were consistent with neurofibromatosis type II.
TREATMENT AND OUTCOMES
Preoperative tracheostomy and wide local excision of schwannoma via a transcervical approach were performed with nerve preservation.
TAKEAWAY LESSONS
The scarceness of cervical sympathetic chain schwannoma made this case of our patient very interesting to report. Moreover, our patient's huge tumour size is extremely rare, and we could not find any similar cases in the literature.
理论依据
尽管25%-45%的神经鞘瘤起源于颈部，但颈动脉间隙神经鞘瘤极为罕见。
患者情况
我们报告一例罕见的巨大神经鞘瘤病例，患者为一名20岁学生，表现为无症状的颈动脉间隙巨大肿块。
诊断
增强颈部磁共振成像（MRI）显示一个巨大的、边界清晰的肿块，大小为13.7 cm×6.4 cm×4.1 cm。颈部MRI及脑部MRI与II型神经纤维瘤病相符。
治疗及结果
术前进行气管切开术，并通过经颈入路对神经鞘瘤进行广泛局部切除，同时保留神经。
经验教训
颈部交感神经链神经鞘瘤的稀缺性使得我们报告的该病例很有意义。此外，我们患者的肿瘤巨大极为罕见，我们在文献中未发现任何类似病例。
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