颈部神经鞘膜瘤

神经鞘膜瘤为起源于神经鞘膜细胞(雪旺氏鞘)的良性肿瘤,是外周神经系统最常见的良性肿瘤之一。绝大多数神经鞘膜瘤发生在四肢及躯干,但颈部,特别上颈部也是集中发病的部位。作者总结了我科收住院治疗的106例     

颌面颈部神经鞘瘤

目的 :总结临床经验以提高对神经鞘瘤的诊断治疗水平。方法 :对我院经治的 160例患者的诊治情况作回顾性研究。结果 :颌面部神经鞘瘤多见于青壮年 ,易累及颈动脉三角段交感神经干及迷走神经 ,确诊有赖于病理诊断。交感神经干及迷走神经易受损伤 ,完整摘除预后良好。结论 :宜在尽可能保留周围神经束枝的情况下钝性剥出肿瘤 ,对来源于迷走神经或位于颈动脉窦周围的神经鞘瘤 ,应在局部浸润麻醉下施术 ,以免术中产生严重并发症     

磁共振成像在颈动脉体瘤与颈部神经鞘瘤鉴别诊断中的应用

磁共振成像在颈动脉体瘤与颈部神经鞘瘤鉴别诊断中的应用山东省立医院口腔颌面外科张卫东王佩玉本文收集了我院１９９２年８月～１９９５年１０月间收治的颈部神经鞘瘤或颈动脉体瘤患者７例，均行磁共振检查，术后均为病理所证实，现报告如下：资料和方法１临床病例：７例...     

颌面颈部神经鞘瘤一附28例报告

目的：总结颌面颈部神经鞘瘤的临床特点、诊断和治疗。方法：分析颌面颈部神经鞘瘤患者的临床特点、实验室检查、病理、诊断、治疗,结合文献进行分析。结果：颌面颈部神经鞘瘤多见于青壮年,确诊有赖于病理诊断,完整摘除预后良好。结论：在尽可能保留周围神经束枝的情况下钝性剥离肿瘤,以免产生严重并发症。     

5例颈部大型神经鞘瘤临床分析

目的探讨颈部大型神经鞘瘤的诊断和治疗。方法回顾性分析2004～2009年收治的5例头颈部神经鞘瘤的临床资料。结果全部患者均行手术治疗,术后患者随访均治愈。结论临床及影像学检查有助于术前诊断．手术彻底切除肿瘤是治疗该病最有效的方法．但手术应尽可能保留来源神经的完整性．     

颈鞘内神经鞘瘤的诊治分析

目的:探讨颈鞘内神经鞘瘤的诊断与治疗方法。方法:回顾性分析2005～2010年收治的23例颈鞘内神经鞘瘤患者的临床资料。结果:彩超和CT-血管造影(CT-angiography,CTA)检查后对23例患者进行手术治疗,术后经病理检查确诊为神经鞘瘤,术后随访,无严重并发症发生,无复发病例。结论:术前CTA检查是诊断颈鞘内神经鞘瘤的有效方法,手术切除务求彻底,术中尽可能保存来源神经的完整性是治愈该病的关键。     

颌面颈部神经鞘瘤临床分析(附18例报告)

目的 :评价三维CT在口腔颌面颈部神经鞘瘤诊断中的作用 ,进一步提高颌面颈部神经鞘瘤的诊断水平。方法 :对神经鞘瘤进行CT扫描、三维成像分析。结果 :三维CT图像清晰 ,肿瘤与周围组织之间关系较为明确。结论 :三维CT成像对颌面部神经鞘瘤的诊断和治疗均有积极的指导意义。     

颈动脉三角区神经鞘瘤17例报告

目的：探讨颈动脉三角区神经鞘瘤的诊断与治疗特点。方法：回顾分析17例颈动脉三角区神经鞘瘤病例的临床特点、影像学特点、诊断及治疗要点。结果：术前确诊16例,误诊1例,颈动脉三角区神经鞘瘤病例的主要来源于交感神经和迷走神经,手术为主要治疗手段,17里病例的神经鞘瘤均被顺利切除。结论：颈动脉三角区神经鞘瘤可依据临床表现、影像学等特点作出正确诊断,选择正确的手术方式,可以取得良好的治疗效果。     

颌骨神经鞘瘤的诊断与鉴别

颌骨神经鞘瘤是一种少见的来源于神经鞘细胞的良性肿瘤,临床上易造成误诊。其鉴别诊断对于选择正确的手术方式具有重要意义。加深对颌骨神经鞘瘤临床表现和影像学、病理、免疫组化各项检查的了解,有助于提高其诊治水平。本文就颌骨神经鞘瘤的临床特征及与成釉细胞瘤、神经纤维瘤、颌骨囊肿等的鉴别诊断作一综述。     

Hyoid chondroma presenting as an external neck mass

Chondromas of the larynx are rare neoplasms; only a few examples of cartilaginous tumors affecting hyoid bone have been reported. A 33-year-old woman presented with a neck mass on the left carotid triangle. The patient's computed tomography and magnetic resonance imaging revealed a heterogenous mass, which seemed to originate from the left greater cornu of hyoid. The mass was excised using a transcervical approach with left greater cornu of hyoid bone. The pathologic diagnosis was chondroma of hyoid. Expert radiologic and pathologic review is mandatory in cartilaginous neoplasms of the larynx. Cartilaginous neoplasms of the hyoid should be included in the differential diagnosis of neck masses at the carotid triangle.     

Lymphoma presenting in the neck: current concepts in diagnosis

Lymphoma commonly presents as a painless enlarging lump in the neck. With the establishment of the neck lump one-stop clinic, patients can be assessed promptly. Historically an open node biopsy specimen was required for definitive diagnosis, but in the last few years, many clinicians have advocated use of image-guided core biopsies, and some specialist centres monitor patients with fine needle aspiration cytology (FNAC) combined with other diagnostic techniques such as flow cytometry. In this article, we present current published papers on the management of suspected lymphoma in a patient who presents with a neck mass. We discuss the role of FNAC, core biopsy, open node biopsy, and imaging in the diagnosis of lymphoma before the patient is referred to the oncologist.     

Multiple Myeloma presenting as Gingival mass

Maxillofacial presentations in patients with multiple myeloma are not uncommon, but multiple myeloma is often overlooked. Because the symptoms are various, it is very difficult to diagnose multiple myeloma in the oral and maxillofacial region. On the basis of the pathologic and clinical findings, the patient was diagnosed with multiple myeloma. Hematologic screening and a radiographic survey further confirmed the diagnosis.     

Head and neck teratoma: From diagnosis to treatment

IntroductionHead and neck teratoma is a rare entity. Its prognosis mostly depends on the risk of neonatal respiratory distress, its extension and potential malignancy. Surgical management must be as complete as possible to avoid recurrences and malignant transformation. The authors present a retrospective analysis of 6 cervicofacial teratomas and a review of the literature. The aim of the study was to analyse prenatal, neonatal and postnatal management of teratoma.Materials and methodsCharts of children presenting with a head and neck teratoma, managed by our maxillofacial and plastic surgery unit, were analysed and antenatal, clinical, biological, radiological and pathological characteristics were collected. Surgical treatment, recurrences and surgical outcomes were analysed.ResultsSix patients were included: 2 with a cervical teratoma, 2 with a facial teratoma and 2 with intraoral teratomas. In 2 cases, the lesions were diagnosed antenatally and both patients required neonatal resuscitation. All the patients underwent early surgery, and 3 with complete excisions. All patients with an initial incomplete excision eventually presented a recurrence and therefore second look surgery. No malignant transformation was noted.ConclusionEarly prenatal diagnosis is crucial to neonatal care. Early surgery and meticulous follow-up are critical in the long-term favourable outcome.     

Meningioma presenting as an intraoral mass.

The following case report illustrates a rather rare oral lesion, an extracranial meningioma. In the dental office the lesion was seen on a periapical x-ray film as a multilocular radiolucency. The patient, however, could not be convinced of the necessity of biopsy until several years later when clinical expansion of the maxillary buccal plate was noted. Thereafter, clinical, radiographic, and histopathologic examination revealed a diffuse meningioma involving the maxillary sinus, the floor of the nose, and the maxillary gingiva. The patient has since refused complete surgical removal but remains alive and well 8 years after the lesion was first noted.     

Nasopharyngeal tuberculosis presenting as massive cervical lymphadenopathy and hearing loss

Lymphadenitis is the most common form of tuberculosis in the head and neck region, but it can be seen in the other areas of the head and neck. Nasopharyngeal tuberculosis is a rare condition without pulmonary and systemic involvement. The majority of patients present with neck mass. A 17-year-old female patient admitted to our outpatient clinic with the complaints of swelling on both sides of the neck and hearing loss. The endoscopic examination revealed a nasopharyngeal mass, and biopsies were taken from the mass. The result of pathologic examination was reported as caseating granulomatous inflammation compatible with tuberculosis. In this report, a nasopharyngeal tuberculosis case associated with massive cervical lymphadenopathy was reported, and etiopathogenesis and treatment were also discussed.