一例颈胸交界处迷走神经副神经节瘤的报告。

Report of a vagal paraganglioma at the cervicothoracic junction.

作者信息

Yun Jun, Kapustin Danielle, Omorogbe Aisosa, Rubin Samuel J, Nicastri Daniel G, De Leacy Reade A, Khorsandi Azita, Urken Mark L

机构信息

THANC (Thyroid, Head & Neck Cancer) Foundation, New York, New York, USA.

Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

出版信息

Head Neck. 2023 Oct;45(10):E36-E43. doi: 10.1002/hed.27481. Epub 2023 Aug 7.

DOI:10.1002/hed.27481

PMID:37548094

Abstract

BACKGROUND

Vagus nerve paragangliomas are rare tumors, comprising 0.03% of head and neck neoplasms. These tumors are usually located cephalad to the hyoid bone, and there is only one previously reported case that arose from the lower third of the neck.

METHODS

We describe the second reported case of a lower neck vagus nerve paraganglioma that was managed with a limited sternotomy for access and surgical removal.

RESULTS

A 66-year-old male presented with a long-standing lesion of the cervicothoracic junction. CT, MRI, and Ga-68 DOTATATE PET/CT showed an avidly enhancing 5.2 × 4.2 × 11.5 cm mass extending from C6 to approximately T4 level. FNA confirmed the diagnosis. The patient underwent catheter angiography and embolization via direct puncture technique followed by excision of the mass via a combined transcervical and limited sternotomy approach.

CONCLUSION

We describe an unusual case of vagal paraganglioma at the cervicothoracic junction with retrosternal extension requiring a sternotomy for surgical excision.

摘要

背景

迷走神经副神经节瘤是罕见肿瘤，占头颈部肿瘤的0.03%。这些肿瘤通常位于舌骨上方，此前仅有1例报告起源于颈部下三分之一处。

方法

我们描述了第二例报告的下颈部迷走神经副神经节瘤病例，该病例通过有限的胸骨切开术进行暴露并手术切除。

结果

一名66岁男性，患有颈胸交界处的长期病变。CT、MRI和Ga-68 DOTATATE PET/CT显示一个强烈强化的肿块，大小为5.2×4.2×11.5 cm，从C6延伸至大约T4水平。细针穿刺抽吸活检（FNA）确诊。患者先接受了导管血管造影和通过直接穿刺技术进行的栓塞，随后通过经颈部联合有限胸骨切开术切除肿块。