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一例表现为腮腺区肿胀的大型面神经鞘瘤——罕见病例报告

A Large Facial Nerve Schwannoma Presenting as a Swelling in Parotid Region-A Rare Case Report.

作者信息

Mishra Pawan Kumar, Gupta Nainsi, Ahmed Aftab, Ahmed Murad, Sharma S C

机构信息

Department of Otorhinolaryngology, Faculty of Medicine, AMU, Aligarh, India.

Department of Pathology, Faculty of Medicine, AMU, Aligarh, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2023 Apr;75(Suppl 1):343-347. doi: 10.1007/s12070-022-03423-4. Epub 2023 Jan 11.

Abstract

Extratemporal facial nerve schwannomas are rare entity. Pre-operative assessment is mostly inconclusive with differential diagnosis of parotid tumors. We hereby report a case of 28 years female who presented with painless swelling in right parotid region with normal facial nerve function. Ultrasonography was suggestive well circumscribed and homogenous mass arising from the deep lobe of parotid gland. The Fine-needle aspiration cytology came out to be inconclusive. For further characterization of the tumor contrast enhanced MR imaging was performed. The MR imaging revealed well-defined cystic, heterogeneous, pear-shaped mass lesion situated near the stylomastoid foramen. Post operatively the mass came out to be schwannoma on histopathological examination.

摘要

颞外面神经鞘瘤是一种罕见的疾病。术前评估大多无法明确诊断,难以与腮腺肿瘤进行鉴别诊断。我们在此报告一例28岁女性患者,其右腮腺区出现无痛性肿胀,面神经功能正常。超声检查提示腮腺深叶有边界清晰、均匀的肿块。细针穿刺细胞学检查结果不明确。为进一步明确肿瘤特征,进行了增强磁共振成像检查。磁共振成像显示,在茎乳孔附近有边界清晰的囊性、异质性、梨形肿块病变。术后经组织病理学检查,肿块为神经鞘瘤。

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本文引用的文献

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Intraparotid facial nerve schwannoma: diagnosis and management.腮腺内面神经鞘瘤:诊断与治疗
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