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一名成年患者的罕见颈段迷走神经施万细胞瘤病例。

A Rare Case of Cervical Vagus Nerve Schwannoma in an Adult Patient.

作者信息

Tzortzis Andrianos S, Dogantzis Panagiotis, Koliakos Nikolaos, Tsintzos Simeon, Tzortzis George

机构信息

Medicine, National and Kapodistrian University of Athens Medical School, Athens, GRC.

Otolaryngology, Panarcadian General Hospital of Tripolis, Tripolis, GRC.

出版信息

Cureus. 2022 May 22;14(5):e25211. doi: 10.7759/cureus.25211. eCollection 2022 May.

Abstract

Schwannomas of the head and neck are relatively rare benign tumors that derive from the Schwann cells. Schwannomas are usually asymptomatic; however, tumors of bigger size may produce unspecific symptoms due to compression of the adjacent anatomic structures. Vagus nerve schwannomas may present as solitary neck masses, produce hoarseness of voice, or induce paroxysmal cough on palpation, which is also pathognomonic. Preoperative diagnosis is challenging and imaging studies may play a vital role in the diagnosis. Surgical treatment with complete tumor removal is the treatment of choice. In this study, we present a case of vagus nerve schwannoma in an adult male patient.

摘要

头颈部神经鞘瘤是相对罕见的源自施万细胞的良性肿瘤。神经鞘瘤通常无症状;然而,较大尺寸的肿瘤可能由于压迫相邻解剖结构而产生非特异性症状。迷走神经鞘瘤可能表现为孤立的颈部肿块,导致声音嘶哑,或在触诊时引发阵发性咳嗽,这也是其特征性表现。术前诊断具有挑战性,影像学检查在诊断中可能发挥至关重要的作用。完整切除肿瘤的手术治疗是首选治疗方法。在本研究中,我们报告了一例成年男性患者的迷走神经鞘瘤病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1fb/9211753/b3b8623fe375/cureus-0014-00000025211-i01.jpg

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