Altowairqi Abdulaziz F, Alharthi Ahmad S, Altalhi Wahaj A, Aljuaid Eidha, Alsini Albaraa Y, Tariq Muhammad U, Altwairqi Areen I
Otolaryngology - Head and Neck Surgery, King Abdulaziz Specialist Hospital, Taif, SAU.
Otolaryngology - Head and Neck Surgery, Alhada Armed Forces Hospital, Taif, SAU.
Cureus. 2023 Mar 20;15(3):e36410. doi: 10.7759/cureus.36410. eCollection 2023 Mar.
Schwann cells in the body's nerve sheath can develop into benign tumors known as schwannomas. While thyroid gland schwannomas are uncommon and are rarely documented in the literature, they are less unusual than those appearing in the head and neck region. The rare nature of schwannomas connected to the thyroid gland adds to the difficulty in detecting them prior to surgery. At present, the most popular form of treatment for thyroid schwannomas is surgical resection, which is considered to be curative. A mass excision or lobectomy has a favorable prognosis, few postoperative complications, and a low risk of tumor recurrence. This paper reports the case of a 71-year-old woman who presented with left neck swelling that had been increasing in size over a number of years. An ultrasonography examination revealed multiple bilateral thyroid nodules with high vascularity. The patient's right thyroid lobe exhibited benign nodular hyperplasia while the thyroid tissue of the isthmus exhibited benign nodular hyperplasia and schwannoma. Following the diagnosis, the patient's mass was successfully surgically removed.
人体神经鞘中的施万细胞可发展成被称为神经鞘瘤的良性肿瘤。虽然甲状腺神经鞘瘤并不常见，且在文献中鲜有记载，但相较于出现在头颈部区域的神经鞘瘤，甲状腺神经鞘瘤没那么罕见。与甲状腺相关的神经鞘瘤的罕见性增加了术前检测的难度。目前，甲状腺神经鞘瘤最常用的治疗方法是手术切除，该方法被认为具有治愈性。肿块切除或叶切除术预后良好，术后并发症少，肿瘤复发风险低。本文报告了一例71岁女性患者的病例，该患者左颈部肿胀多年且逐渐增大。超声检查发现双侧多个甲状腺结节，血管丰富。患者右侧甲状腺叶表现为良性结节性增生，而峡部甲状腺组织表现为良性结节性增生和神经鞘瘤。诊断明确后，患者的肿块被成功手术切除。
