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颈迷走神经鞘瘤的诊断难题

Challenging diagnosis of cervical vagal nerve schwannoma.

作者信息

Pankratjevaite Lina, Dreyer Niloofar Sherazi, Dauksa Albertas, Sarauskas Valdas

机构信息

Department of Breast Surgery, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Department of Otorhinolaryngology, Head and Neck Surgery, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

出版信息

J Surg Case Rep. 2022 Apr 3;2022(4):rjac084. doi: 10.1093/jscr/rjac084. eCollection 2022 Apr.

DOI:10.1093/jscr/rjac084
PMID:35382138
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8977114/
Abstract

Schwannoma arising from vagal nerve is a rare tumour. It is a slow-growing, benign mass, but rarely it might undergo malignant transformation. We report a case of a 55-year-old woman with asymptomatic Xth cranial nerve schwannoma in the left side of the neck. Initially, during the ultrasound examination, the tumour was misconceived to be a malignant lymph node. The patient underwent complete surgical excision of it. Histopathological examination revealed typical features of schwannoma. Clinical diagnose of cervical vagal nerve schwannoma is difficult. Magnetic resonance imaging is as an accurate diagnostic tool for these tumours. Surgical excision is the treatment of choice.

摘要

起源于迷走神经的神经鞘瘤是一种罕见肿瘤。它是一种生长缓慢的良性肿块,但很少会发生恶性转化。我们报告一例55岁女性,其左侧颈部有无症状的第十颅神经神经鞘瘤。最初,在超声检查时,该肿瘤被误诊为恶性淋巴结。患者接受了肿瘤的完整手术切除。组织病理学检查显示神经鞘瘤的典型特征。颈迷走神经神经鞘瘤的临床诊断困难。磁共振成像作为这些肿瘤的准确诊断工具。手术切除是首选治疗方法。

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本文引用的文献

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Function preservation for resection of vagal schwannoma of the head and neck: Are we talking about the same technique?
Head Neck. 2020 Nov;42(11):3469-3470. doi: 10.1002/hed.26448. Epub 2020 Sep 3.
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Vagal schwannomas of the head and neck: A comprehensive review and a novel approach to preserving vocal cord innervation and function.头颈部迷走神经鞘瘤:全面综述及保留声带神经支配和功能的新方法。
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Extracranial Head and Neck Schwannomas: Our Experience.颅外头颈部神经鞘瘤:我们的经验
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Neurilemmoma of the Vagus Nerve in the Poststyloid Parapharyngeal Space.茎突后咽旁间隙迷走神经鞘瘤
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A giant vagal schwannoma with unusual extension from skull base to the mediastinum.一例巨大迷走神经鞘瘤,具有从颅底至纵隔的异常延伸。
J Cancer Res Ther. 2015 Oct-Dec;11(4):970-3. doi: 10.4103/0973-1482.164697.
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A cervical vagal schwannoma mimicking a parathyroid cyst.颈迷走神经鞘瘤酷似甲状旁腺囊肿。
Clin Exp Otorhinolaryngol. 2014 Jun;7(2):153-6. doi: 10.3342/ceo.2014.7.2.153. Epub 2014 May 21.
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An extensive cervical vagal nerve schwannoma: a case report.一例广泛的颈段迷走神经鞘瘤:病例报告
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