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경부 결핵성 림프절염으로 오인된 미주신경에서 발생한 다발성 신경초종 1예

The Multiple Schwannomas of Vagus Nerve Masquerading as Cervical Tuberculosis Lymphadenopathy : Case Report

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키워드

주제분류이비인후과학

초록

In many cases, schwannoma is a single and solitary lesion and more than half of it develops from head and neck area. Ideally schwannoma should be removed without damaging the nerve, but if the cancer is difficult to desquamate, neurolysis or debulking procedure can be performed by compensating the nerve functions. In this case, due to a previous diagnosis of colonal tuberculosis, the caseous neck nodes were assumed as tuberculous lymphadenitis. But imaging study and surgical point of view misled to diagnosis between Tbc lymphadenitis or schwannoma. Multifocal shwannoma in a single nerve is very rare, authors had a difficulty to plan a proper treatment.

Abstract

In many cases, schwannoma is a single and solitary lesion and more than half of it develops from head and neck area. Ideally schwannoma should be removed without damaging the nerve, but if the cancer is difficult to desquamate, neurolysis or debulking procedure can be performed by compensating the nerve functions. In this case, due to a previous diagnosis of colonal tuberculosis, the caseous neck nodes were assumed as tuberculous lymphadenitis. But imaging study and surgical point of view misled to diagnosis between Tbc lymphadenitis or schwannoma. Multifocal shwannoma in a single nerve is very rare, authors had a difficulty to plan a proper treatment.

참고문헌 (10)

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  8. Abraamowitz J, "Angiographic diagnosis and management of head and neck schwannoma", AJNR Am J Neuroradiol, 12(5), pp.977~984 (1991)
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