Roistacher S L
Mount Sinai School of Medicine, Jamaica, N.Y., USA.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997 Jan;83(1):10-3. doi: 10.1016/s1079-2104(97)90083-4.
The serendipitous finding of a mass in the left neck unrelated to the prior masticatory muscle findings brought about prompt angiographic and magnetic resonance imaging studies that confirmed the presence of a carotid body tumor. The presence of an unrelated pathologic entity in the area from which prior complaints and findings had originated can be overlooked if one continues to focus on the initial presenting findings. When a more serious and even life-threatening element emerges during the time of painful dysfunction it may be masked by the ongoing symptoms and signs. Failure to recognize the presence of a new component with presenting symptoms similar to those ascribed to myofascial pain dysfunction is fraught with serious consequences for the patient.
在左颈部偶然发现一个肿块，与之前咀嚼肌的检查结果无关，这促使医生迅速进行血管造影和磁共振成像研究，结果证实是颈动脉体瘤。如果一直专注于最初出现的症状，那么在之前症状和检查结果出现的区域中存在的不相关病理实体可能会被忽视。当在疼痛性功能障碍期间出现更严重甚至危及生命的因素时，它可能会被持续的症状和体征所掩盖。未能识别出存在与肌筋膜疼痛功能障碍症状相似的新症状，会给患者带来严重后果。
