咽旁指前样迷走神经副神经节瘤。

Nuriye Guzin Ozdemir, Hakan Yilmaz, Ibrahim Burak Atci, Adil Can Karaoglu, Okan Turk, Arzu Algun Gedik, Ayhan Kocak
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引用次数: 0

摘要

迷走神经副神经节瘤是一种罕见的肿瘤,起源于迷走神经会阴部的副神经节组织。通常,良性血管肿瘤,VPs倾向于侵犯周围结构。在此,我们报告了一例VP表现为颈部肿块,术前评估为颈静脉球瘤。一名65岁女性,主诉左侧颈部肿块和间歇性声音嘶哑,评估并手术治疗可能的颈静脉球瘤。在肿瘤切除过程中,迷走神经也受到影响,因此被切除。组织病理学检查显示一个与神经和神经节相关的包膜肿瘤,免疫组织化学染色检测出琥珀酸脱氢酶阳性,证实了VP的诊断。术后残余声音嘶哑通过嗓音康复进行矫正。在评估咽后指前颈部肿块时,应始终考虑VP。手术切除包括迷走神经损伤,然后进行声乐康复可能是合适的治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Parapharyngeal Prestyloid Vagal Paraganglioma.

Vagal paragangliomas (VPs) are rare tumors arising from paraganglionic tissue within the vagal nerve's perineurium. Usually, benign vascular tumors, VPs tend to invade the surrounding structures. Herein, we report the case of a VP presenting as a neck mass, which was evaluated as a glomus caroticum tumor preoperatively. A 65-year-old female complaining of a left-sided neck mass and intermittent hoarseness was assessed and operated on for possible glomus caroticum tumor. During the tumor excision, the vagal nerve was also involved, and hence, sacrificed. Histopathological examination revealed an encapsulated tumor associated with a nerve and ganglion and immunohistochemical staining tested positive for succinate dehydrogenase, confirming the diagnosis of VP. Postoperative residual hoarseness was corrected by vocal rehabilitation. While evaluating a retropharyngeal prestyloid neck mass, a VP should always be considered. Surgical excision involving vagal scarification, followed by vocal rehabilitation may be the appropriate treatment strategy.

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