미세침흡인술 후 성대마비가 발생한 되돌이후두신경의 신경초종 1예
A Case of Schwannoma of the Recurrent Laryngeal Nerve Associated with Vocal Cord Palsy after Fine-Needle Aspiration
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Approximately 25-45% of all schwannomas occur in the head and neck, and lesions originating from the recurrent laryngeal nerve are very rare. When a tumor is located in the neck, it is difficult to differentiate schwannoma from other lesions including thyroid, parathyroid, or esophageal masses; or lymphoma. We report here a case of schwannoma of the recurrent laryngeal nerve, confused with a thyroid mass, in a 67-year-old woman. Our patient complained of hoarseness after fine-needle aspiration of the mass. It was diagnosed as vocal cord palsy and she underwent surgery for mass removal. Pathological examination showed that the mass was an ancient schwannoma. The case suggests that clinicians should note that schwannoma of the recurrent laryngeal nerve may present as a thyroid mass, and hoarseness is one possible complication developing after fine-needle aspiration or surgery.
Abstract
Approximately 25-45% of all schwannomas occur in the head and neck, and lesions originating from the recurrent laryngeal nerve are very rare. When a tumor is located in the neck, it is difficult to differentiate schwannoma from other lesions including thyroid, parathyroid, or esophageal masses; or lymphoma. We report here a case of schwannoma of the recurrent laryngeal nerve, confused with a thyroid mass, in a 67-year-old woman. Our patient complained of hoarseness after fine-needle aspiration of the mass. It was diagnosed as vocal cord palsy and she underwent surgery for mass removal. Pathological examination showed that the mass was an ancient schwannoma. The case suggests that clinicians should note that schwannoma of the recurrent laryngeal nerve may present as a thyroid mass, and hoarseness is one possible complication developing after fine-needle aspiration or surgery.
참고문헌 (12)
- 임상호, "두경부에 발생한 신경초종에 대한 임상적 고찰", 대한이비인후과학회지 두경부외과학, 54(4), pp.278~282 (2011), 대한이비인후과학회
- Ebmeyer J, "Schwannoma of the larynx", Head Neck Oncol, 1, pp.24~ (2009)
- Reynolds DL Jr, "Sonographic characteristics of peripheral nerve sheath tumors", AJR Am J Roentgenol, 182(3), pp.741~744 (2004)
- Kami YN, "Imaging findings of neurogenic tumours in the head and neck region", Dentomaxillofac Radiol, 41(1), pp.18~23 (2012)
- Koga H, "Definition of the target sign and its use for the diagnosis of schwannomas", Clin Orthop Relat Res, 464, pp.224~229 (2007)
- Polyzos SA, "Clinical complications following thyroid fine-needle biopsy: a systematic review", Clin Endocrinol (Oxf), 71(2), pp.157~165 (2009)
- McMonagle B, "Facial schwannoma: results of a large case series and review", J Laryngol Otol, 122(11), pp.1139~1150 (2008)
- Park SY, "Two cases of neurilemmoma of the cervical vagus nerve including intracapsular enucleation of nerve preservation", Korean J Otorhinolaryngol-Head Neck Surg, 44(12), pp.1350~1354 (2001)
- Fujino K, "Intracapsular enucleation of vagus nerve-originated tumors for preservation of neural function", Otolaryngol Head Neck Surg, 123(3), pp.334~ (2000)
- Hong KH, "Ancient schwannoma in the tracheoesophageal groove", Korean J Otorhinolaryngol-Head Neck Surg, 44(5), pp.553~555 (2001)
- Imperatori A, "Cervico-mediastinal schwannoma of the vagus nerve: resection with intraoperative nerve monitoring", Updates Surg, 63(1), pp.59~61 (2011)
- Sasaki K, "Thoracoscopic removal of middle mediastinal schwannoma originating from recurrent nerve", Thorac Cardiovasc Surg, 56(6), pp.375~377 (2008)