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Giant Ancient Schwannoma of the Lateral Neck Presenting with Preoperative Horner’s Syndrome

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초록

While ancient schwannoma (AS) from the cervical sympathetic chain is very rare. Preoperative Horner’s syndrome resulting from cervical sympathetic chain schwannoma (CSCS) is extremely rare. A 58-year-old woman visited our clinic with a huge lateral neck mass that had been present for thirteen years. Ptosis and enophthalmos were observed on the left eye. After radiologic evaluation, we assessed the CSCS by performing surgical excision. Finally, pathologic examination revealed it to be AS. There has been no recurrence for 15 months after discharge, however Horner’s syndrome has become more prominent. We report this unique case of ancient sch-wannoma with literature review.

Abstract

While ancient schwannoma (AS) from the cervical sympathetic chain is very rare. Preoperative Horner’s syndrome resulting from cervical sympathetic chain schwannoma (CSCS) is extremely rare. A 58-year-old woman visited our clinic with a huge lateral neck mass that had been present for thirteen years. Ptosis and enophthalmos were observed on the left eye. After radiologic evaluation, we assessed the CSCS by performing surgical excision. Finally, pathologic examination revealed it to be AS. There has been no recurrence for 15 months after discharge, however Horner’s syndrome has become more prominent. We report this unique case of ancient sch-wannoma with literature review.

참고문헌 (8)

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  5. Isobe K, "Imaging of ancient schwannoma", AJR Am J Roentgenol, 183(2), pp.331~336 (2004)
  6. Casserly P, "Cervical sympathetic chain schwannoma masquerading as a carotid body tumour with a postoperative complication of first-bite syndrome", Eur Arch Otorhinolaryngol, 266(10), pp.1659~1662 (2009)
  7. Wax MK, "Cervical sympathetic chain schwannoma", Laryngoscope, 114(12), pp.2210~2213 (2004)
  8. Mikami Y, "Malignant peripheral nerve sheath tumor arising in benign ancient schwannoma: a case report with an immunohistochemical study", Pathol Int, 50(2), pp.156~161 (2000)

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