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颅外舌下神经鞘瘤:病例报告及文献复习。

Extracranial Hypoglossal Schwannoma: Case Report and Literature Review.

机构信息

Department of Oral and Maxillofacial Surgery, Attikon General University Hospital of Athens, Athens, Greece.

Department of Oral and Plastic Maxillofacial Surgery, University Hospital Ulm, Ulm, Germany.

出版信息

In Vivo. 2024 May-Jun;38(3):1489-1497. doi: 10.21873/invivo.13596.

Abstract

BACKGROUND

Schwannomas are solitary neurogenic tumors originating from the myelin sheath of peripheral nerves. Extracranial hypoglossal schwannomas comprise <5% of all head and neck schwannomas and can mimic submandibular salivary gland tumors.

CASE REPORT

We report the diagnostic imaging, surgical treatment, and histopathological findings of a rare case of extracranial schwannoma of the hypoglossal nerve in a 73-year-old female, presented with an asymptomatic swelling in the left submandibular region that had been persisted for approximately three years.

CONCLUSION

Accurate diagnosis of this rare clinical entity requires comprehensive diagnostics. The optimal therapeutic strategy is nerve-sparing surgical excision, although it can be challenging.

摘要

背景

神经鞘瘤是起源于周围神经髓鞘的单一神经源性肿瘤。颅外舌下神经鞘瘤占所有头颈部神经鞘瘤的<5%,可模拟下颌下唾液腺肿瘤。

病例报告

我们报告了一例罕见的 73 岁女性颅外舌下神经鞘瘤的诊断影像学、手术治疗和组织病理学发现,该患者无明显症状,左侧下颌下区肿胀约三年。

结论

这种罕见的临床实体的准确诊断需要全面的诊断。最佳的治疗策略是保留神经的手术切除,尽管这可能具有挑战性。

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