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小儿舌部神经鞘瘤:一例病例报告及文献复习

Pediatric schwannoma of the tongue: A case report and review of literature.

作者信息

Yun Chang Bin, Kim Young-Mo, Choi Jeong-Seok, Kim Ji Won

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine, Incheon 22212, South Korea.

出版信息

World J Clin Cases. 2021 Aug 26;9(24):7212-7217. doi: 10.12998/wjcc.v9.i24.7212.

Abstract

BACKGROUND

Neurogenic tumors account for about ten percent of all tumors of childhood, and benign tumor originating from Schwann cells is rare in peripheral nerves. Schwannoma of the tongue is quite rare in children.

CASE SUMMARY

We present the case of an 8-year-old male with schwannoma in the anterolateral tongue. The mass was slow-growing for one year with no pain and discomfort. He underwent transoral mass excision under general anesthesia. Gross examination revealed a smooth surfaced, 17 mm × 14 mm × 7 mm sized, encapsulated nodule with a clear resection margin. Schwannoma of the tongue was confirmed by the pathological exam. He reported no motor or sensory change, such as dysgeusia or paresthesia, or phonation difficulty during postoperative 12 mo follow-up.

CONCLUSION

Schwannoma of the tongue is a rare benign neoplasm in childhood. If a painless firm mass is encountered in the tongue of a child, solid tumors like schwannoma should be considered in the differential diagnosis.

摘要

背景

神经源性肿瘤约占儿童所有肿瘤的10%,起源于施万细胞的良性肿瘤在周围神经中较为罕见。儿童舌部神经鞘瘤极为罕见。

病例摘要

我们报告一例8岁男性舌前外侧神经鞘瘤病例。肿块生长缓慢,持续一年,无疼痛及不适。他在全身麻醉下接受了经口肿块切除术。大体检查显示,肿块表面光滑,大小为17 mm×14 mm×7 mm,有包膜,切除边缘清晰。病理检查确诊为舌部神经鞘瘤。术后12个月随访期间,他未出现运动或感觉改变,如味觉障碍、感觉异常或发声困难。

结论

儿童舌部神经鞘瘤是一种罕见的良性肿瘤。如果在儿童舌部发现无痛性实性肿块,鉴别诊断时应考虑神经鞘瘤等实体瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f8b/8409190/dcfc3019b620/WJCC-9-7212-g001.jpg

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