Lachkar Azeddine, Roubi Faycal, Benfadil Drissia, Elayoubi Fahd
ENT and Head and Neck Surgery Department, University Hospital Center Mohammed VI, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco.
J Surg Case Rep. 2022 May 22;2022(5):rjac228. doi: 10.1093/jscr/rjac228. eCollection 2022 May.
Schwannoma arising from the cervical sympathetic chain are rare slow-growing tumors which represent a diagnostic challenge. We report a 80-year-old female patient presented with anterior neck triangle swelling. The radiological assessment was based on computed tomography and magnetic resonance imaging, which led to a preoperative diagnosis of vagus nerve schwannoma. However, surgical treatment revealed a cervical sympathetic chain mass rather than a vagus nerve mass. A complete removal was performed, and the anatomopathological examination was in favor of a schwannoma. In post-operative state, the patient presented a well-tolerated Horner's syndrome.
起源于颈交感神经链的神经鞘瘤是罕见的生长缓慢的肿瘤，这构成了诊断挑战。我们报告一位80岁女性患者，表现为颈前三角肿胀。影像学评估基于计算机断层扫描和磁共振成像，术前诊断为迷走神经鞘瘤。然而，手术治疗发现是颈交感神经链肿块而非迷走神经肿块。进行了完整切除，解剖病理学检查支持神经鞘瘤诊断。术后状态下，患者出现耐受性良好的霍纳综合征。
