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A Cervical Vagal Schwannoma Mimicking a Parathyroid Cyst

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초록

Cervical vagal schwannomas with cystic degeneration changes are extremely rare. These tumors are typically benign and slow growing. A 44-year-old woman underwent complete resection of a tumor measuring 4×3.5 cm in the right neck using the endoscopic approach, instead of the conventional transcervical approach. We applied the new scarless neck surgery technique with an endoscopic unilateral axillo-breast approach. The tumor originated from the right vagus nerve, and was confirmed to be a vagal schwannoma pathologically. The patient has been followed up for 18 months postoperatively with no evidence of tumor recurrence or neurological deficit. We report an extremely rare vagal schwannoma with cystic degen- eration that was removed by an endoscopic approach, along with a review of the relevant literature.

Abstract

Cervical vagal schwannomas with cystic degeneration changes are extremely rare. These tumors are typically benign and slow growing. A 44-year-old woman underwent complete resection of a tumor measuring 4×3.5 cm in the right neck using the endoscopic approach, instead of the conventional transcervical approach. We applied the new scarless neck surgery technique with an endoscopic unilateral axillo-breast approach. The tumor originated from the right vagus nerve, and was confirmed to be a vagal schwannoma pathologically. The patient has been followed up for 18 months postoperatively with no evidence of tumor recurrence or neurological deficit. We report an extremely rare vagal schwannoma with cystic degen- eration that was removed by an endoscopic approach, along with a review of the relevant literature.

참고문헌 (8)

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  3. 박경태, "Juvenile Hyaline Fibromatosis", Clinical and Experimental Otorhinolaryngology, 3(2), pp.102~106 (2010), 대한이비인후과학회
  4. Chang SC, "Neurilemmoma of the vagus nerve: a case report and brief literature review", Laryngoscope, 94(7), pp.946~949 (1984)
  5. Colreavy MP, "Head and neck schwannomas: a 10 year review", J Laryngol Otol, 114(2), pp.119~124 (2000)
  6. 박경태, "Schwannoma Mimicking Laryngocele", Clinical and Experimental Otorhinolaryngology, 3(3), pp.166~171 (2010), 대한이비인후과학회
  7. 권희준, "Adenomatous Hyperplasia Arising from Dual Ectopic Thyroid", Clinical and Experimental Otorhinolaryngology, 2(3), pp.155~158 (2009), 대한이비인후과학회
  8. Roh JL, "Resection of cervical vagal schwannoma via a post-auricular approach", Acta Otolaryngol, 126(3), pp.318~320 (2006)

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